U.S. patent application number 13/772253 was filed with the patent office on 2013-10-10 for phospholipid drug analogs.
The applicant listed for this patent is Telormedix SA. Invention is credited to Alcide Barberis, Roberto Maj, Emanuela Mura, Franco Pattarino.
Application Number | 20130266635 13/772253 |
Document ID | / |
Family ID | 44168018 |
Filed Date | 2013-10-10 |
United States Patent
Application |
20130266635 |
Kind Code |
A1 |
Maj; Roberto ; et
al. |
October 10, 2013 |
PHOSPHOLIPID DRUG ANALOGS
Abstract
Provided in some embodiments are compositions comprising a
compound having a structure according to Formula A or Formula B:
##STR00001## or a pharmaceutically acceptable salt, tautomer or
hydrate thereof, where X.sup.2 is a bond or linker, X.sup.3 is bond
or --PO.sub.4--, and X.sup.1, R.sup.1, R.sup.2, R.sup.3, and n are
described herein. Also provided in some embodiments are methods for
making and using such compounds and compositions.
Inventors: |
Maj; Roberto; (Bioggio,
CH) ; Pattarino; Franco; (Tornio, IT) ; Mura;
Emanuela; (Bioggio, CH) ; Barberis; Alcide;
(Bioggio, CH) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Telormedix SA |
Bioggio |
|
CH |
|
|
Family ID: |
44168018 |
Appl. No.: |
13/772253 |
Filed: |
February 20, 2013 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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13097838 |
Apr 29, 2011 |
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13772253 |
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61330151 |
Apr 30, 2010 |
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Current U.S.
Class: |
424/450 ;
424/184.1; 424/278.1 |
Current CPC
Class: |
A61K 39/015 20130101;
A61P 31/00 20180101; A61K 2039/55511 20130101; A61K 39/04 20130101;
A61K 47/544 20170801; C07F 9/65616 20130101; A61P 31/04 20180101;
A61K 39/00 20130101; A61P 37/04 20180101; A61K 31/685 20130101;
A61K 31/522 20130101; A61K 39/39 20130101; Y02A 50/386 20180101;
A61P 35/00 20180101; Y02A 50/30 20180101 |
Class at
Publication: |
424/450 ;
424/278.1; 424/184.1 |
International
Class: |
A61K 39/39 20060101
A61K039/39; A61K 39/00 20060101 A61K039/00 |
Claims
1. A method for inducing an immune response in a subject,
comprising administering to the subject a compound having a
structure according to Formula A or Formula B: ##STR00026## or a
pharmaceutically acceptable salt, tautomer or hydrate thereof,
wherein: X.sup.1 is --O--, --S--, or --NR.sup.a--; R.sup.a is
hydrogen, C1-C10 alkyl, or substituted C1-C10 alkyl, or R.sup.a and
R.sup.1 taken together with the nitrogen atom can form a
heterocyclic ring or a substituted heterocyclic ring, wherein the
substituents on the alkyl or heterocyclic groups are hydroxy,
C1-C10 alkyl, hydroxyl C1-C10 alkenyl, C1-C6 alkoxy, C3-C6
cycloalkyl, C1-C6 alkoxy C1-C6 alkylene, amino, cyano, halogen or
aryl; R.sup.1 is hydrogen, C1-C10 alkyl, substituted C1-C10 alkyl,
C1-C10 alkoxy, substituted C1-C10 alkoxy, C3-C9 cycloalkyl,
substituted C3-C9 cycloalkyl, C5-C10 aryl, substituted C5-C10 aryl,
C5-C9 heterocyclic, substituted C5-C9 heterocyclic, C1-C6 alkanoyl,
Het, Het C1-C6 alkyl, or C1-C6 alkoxycarbonyl, wherein the
substituents on the alkyl, cycloalkyl, alkanoyl, alkcoxycarbonyl,
Het, aryl or heterocyclic groups are hydroxyl, C1-C10 alkyl,
hydroxyl C1-C10 alkylene, C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9
heterocyclic, C1-6 alkoxy C1-6 alkenyl, amino, cyano, halogen or
aryl; each R.sup.2 independently is hydrogen, --OH, C1-C6 alkyl,
substituted C1-C6 alkyl, C1-C6 alkoxy, substituted C1-C6 alkoxy,
--C(O)--C1-C6 alkyl (alkanoyl), substituted --C(O)--C1-C6 alkyl,
--C(O)--C6-C10 aryl (aroyl), substituted --C(O)--C6-C10 aryl,
--C(O)OH (carboxyl), --C(O)O--C1-C6 alkyl (alkoxycarbonyl),
substituted --C(O)O--C1-C6 alkyl, --NR.sup.aR.sup.b,
--C(O)NR.sup.bR.sup.c (carbamoyl), substituted C(O)NR.sup.bR.sup.c,
C5-C9 cyclic, substituted C5-C9 cyclic, C5-C9 heterocyclic,
substituted C5-C9 heterocyclic, halo, nitro, or cyano, wherein the
substituents on the alkyl, cyclic, aryl or heterocyclic groups are
hydroxy, C1-C10 alkyl, hydroxyl C1-C10 alkylene, C1-C6 alkoxy,
C3-C6 cycloalkyl, C1-C6 alkoxy C1-C6 alkylene, amino, cyano,
halogen or aryl; each R.sup.b and R.sup.c independently is
hydrogen, C1-C10 alkyl, substituted C1-C10 alkyl, C1-C10 alkoxy,
substituted C1-C10 alkoxy, C3-C9 cycloalkyl, substituted C3-C9
cycloalkyl, C5-C10 aryl, substituted C5-C10 aryl, C5-C9
heterocyclic, substituted C5-C9 heterocyclic, C1-C6 alkanoyl, Het,
Het C1-C6 alkyl, or C1-C6 alkoxycarbonyl, wherein the substituents
on the alkyl, cycloalkyl, alkanoyl, alkcoxycarbonyl, Het, aryl or
heterocyclic groups are hydroxyl, C1-C10 alkyl, hydroxyl C1-C10
alkylene, C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9 heterocyclic, C1-6
alkoxy C1-6 alkenyl, amino, cyano, halogen or aryl; X.sup.2 is a
bond or a linking group; n is 0, 1, 2, 3 or 4; and X.sup.3 is
--PO.sub.4--; R.sup.3 is a C1-C6 alkyl substituted with
--OC(O)--R.sup.d and --OC(O)--R.sup.e; C1-C6 alkyl substituted with
--OC(O)--R.sup.d, --OC(O)--R.sup.e, and one or more further
substituents; C1-C6 alkenyl substituted with --OC(O)--R.sup.d and
--OC(O)--R.sup.e; or C1-C6 alkenyl substituted with
--OC(O)--R.sup.d, --OC(O)--R.sup.e, and one or more further
substituents; wherein the one or more further substituents
independently are hydroxyl, C1-C10 alkyl, hydroxyl C1-C10 alkylene,
C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9 heterocyclic, C1-6 alkoxy
C1-6 alkylene, amino, cyano, halogen or aryl; each R.sup.d and
R.sup.e independently is a linear and saturated C6-C30 alkyl.
2. The method of claim 1, which comprises administering an antigen
to the subject.
3. The method of claim 1, wherein R.sup.d and R.sup.e independently
are a linear and saturated C8-C18 alkyl.
4. The method of claim 1, wherein R.sup.d and R.sup.e independently
are a linear and saturated C6, C8, C12, C14 or C18 alkyl.
5. The method of claim 1, wherein R.sup.d and R.sup.e are the
same.
6. The method of claim 1, wherein --X.sup.2--X.sup.3--R.sup.3 taken
together form a structure according to Formula C: ##STR00027##
7. The method of claim 1, wherein --X.sup.2--X.sup.3--R.sup.3 of
the compound taken together form a structure according to Formula
D: ##STR00028##
8. The method of claim 1, wherein X.sup.1 is O.
9. The method of claim 1, wherein R.sup.1 is a C1-C10 alkyl
substituted with C1-6 alkoxy.
10. The method of claim 1, wherein n is 0 and X.sup.2 is
--C(O)NH--(CH.sub.2).sub.2--.
11. The method of claim 1, wherein R.sup.d and R.sup.e each are
linear and saturated C12 alkyl.
12. The method of claim 1, wherein R.sup.d and R.sup.e each are
linear and saturated C14 alkyl.
13. The method of claim 1, wherein X.sup.1 is O, R.sup.1 is
--(CH.sub.2).sub.2--OCH.sub.3, n is 0, X.sup.2 is
--C(O)NH--(CH.sub.2).sub.2--, X.sup.3 is phosphate, R.sup.3 is a C3
alkyl substituted with --OC(O)--R.sup.d and --OC(O)--R.sup.e, and
R.sup.d and R.sup.e each are a linear and saturated C12-C14
alkyl.
14. The method of claim 1, wherein the compound is SC12.
15. The method of claim 2, wherein the antigen and the compound are
in one composition.
16. The method of claim 2, wherein the antigen and the compound are
in different compositions.
17. The method of claim 1, wherein the compound has an adjuvant
activity.
18. The method of claim 1, wherein the compound is in association
with a liposome.
19. The method of claim 1, wherein the immune response is an
antibody response.
20. The method of claim 2, wherein the antigen is a microbial
antigen.
21. The method of claim 1, wherein the compound is administered to
the bladder.
22. The method of claim 1, wherein the immune response is a
Th-1-type response.
Description
RELATED PATENT APPLICATIONS
[0001] This application is a continuation of U.S. patent
application Ser. No. 13/097,838 filed Apr. 29, 2011, entitled
PHOSPHOLIPID DRUG ANALOGS, naming Roberto Maj et al. as inventors,
and designated by attorney docket no. TEL-1500-UT, which claims the
benefit of U.S. provisional patent application No. 61/330,151 filed
Apr. 30, 2010, entitled PHOSPHOLIPID DRUG ANALOGS, naming Alcide
Barberis et al. as inventors, and designated by attorney docket no.
TEL-1500-PV.
[0002] Each of the foregoing patent applications is incorporated
herein by reference in its entirety, including all text, tables and
drawings.
FIELD
[0003] The technology relates in part to phospholipid drug analogs,
and methods for manufacturing and using the same.
BACKGROUND
[0004] A pharmacophore often is a molecule that can exert a
therapeutic effect in a subject. For example, a pharmacophore
sometimes can exert an anti-cell proliferation effect, which can be
useful for treating cell proliferation conditions such as cancer. A
pharmacophore sometimes can stimulate the immune system in a
subject, and thereby can generate or enhance an immune response
against a particular antigen.
[0005] A pharmacophore can be conjugated (e.g., linked) to a
phospholipid, or phospholipid-like molecule, in a phospholipid drug
analog. A phospholipid, or phospholipid-like component, can impart
a function to the analog that differs from the action of the
unconjugated pharmacophore.
SUMMARY
[0006] Provided in some embodiments are compositions comprising a
compound having a structure according to Formula A or Formula
B:
##STR00002##
or a pharmaceutically acceptable salt, tautomer or hydrate thereof,
where: [0007] X.sup.1 is --O--, --S--, or --NR.sup.a--; [0008]
R.sup.a is hydrogen, C1-C10 alkyl, or substituted C1-C10 alkyl, or
R.sup.a and R.sup.1 taken together with the nitrogen atom can form
a heterocyclic ring or a substituted heterocyclic ring, where the
substituents on the alkyl or heterocyclic groups are hydroxy,
C1-C10 alkyl, hydroxyl C1-C10 alkenyl, C1-C6 alkoxy, C3-C6
cycloalkyl, C1-C6 alkoxy C1-C6 alkylene, amino, cyano, halogen or
aryl; [0009] R.sup.1 is hydrogen, C1-C10 alkyl, substituted C1-C10
alkyl, C1-C10 alkoxy, substituted C1-C10 alkoxy, C3-C9 cycloalkyl,
substituted C3-C9 cycloalkyl, C5-C10 aryl, substituted C5-C10 aryl,
C5-C9 heterocyclic, substituted C5-C9 heterocyclic, C1-C6 alkanoyl,
Het, Het C1-C6 alkyl, or C1-C6 alkoxycarbonyl, where the
substituents on the alkyl, cycloalkyl, alkanoyl, alkcoxycarbonyl,
Het, aryl or heterocyclic groups are hydroxyl, C1-C10 alkyl,
hydroxyl C1-C10 alkylene, C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9
heterocyclic, C1-6 alkoxy C1-6 alkenyl, amino, cyano, halogen or
aryl; [0010] each R.sup.2 independently is hydrogen, --OH, C1-C6
alkyl, substituted C1-C6 alkyl, C1-C6 alkoxy, substituted C1-C6
alkoxy, --C(O)--C1-C6 alkyl (alkanoyl), substituted --C(O)--C1-C6
alkyl, --C(O)--C6-C10 aryl (aroyl), substituted --C(O)--C6-C10
aryl, --C(O)OH (carboxyl), --C(O)O--C1-C6 alkyl (alkoxycarbonyl),
substituted --C(O)O--C1-C6 alkyl, --NR.sup.aR.sup.b,
--C(O)NR.sup.bR.sup.c (carbamoyl), substituted C(O)NR.sup.bR.sup.c,
C5-C9 cyclic, substituted C5-C9 cyclic, C5-C9 heterocyclic,
substituted C5-C9 heterocyclic, halo, nitro, or cyano, where the
substituents on the alkyl, cyclic, aryl or heterocyclic groups are
hydroxy, C1-C10 alkyl, hydroxyl C1-C10 alkylene, C1-C6 alkoxy,
C3-C6 cycloalkyl, C1-C6 alkoxy C1-C6 alkylene, amino, cyano,
halogen or aryl; [0011] each R.sup.b and R.sup.c independently is
hydrogen, C1-C10 alkyl, substituted C1-C10 alkyl, C1-C10 alkoxy,
substituted C1-C10 alkoxy, C3-C9 cycloalkyl, substituted C3-C9
cycloalkyl, C5-C10 aryl, substituted C5-C10 aryl, C5-C9
heterocyclic, substituted C5-C9 heterocyclic, C1-C6 alkanoyl, Het,
Het C1-C6 alkyl, or C1-C6 alkoxycarbonyl, where the substituents on
the alkyl, cycloalkyl, alkanoyl, alkcoxycarbonyl, Het, aryl or
heterocyclic groups are hydroxyl, C1-C10 alkyl, hydroxyl C1-C10
alkylene, C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9 heterocyclic, C1-6
alkoxy C1-6 alkenyl, amino, cyano, halogen or aryl; [0012] X.sup.2
is a bond or a linking group; n is 0, 1, 2, 3 or 4; and [0013]
X.sup.3 is a bond or a --PO.sub.4--; [0014] R.sup.3 is a C1-C6
alkyl substituted with --OC(O)--R.sup.d and --OC(O)--R.sup.e; C1-C6
alkyl substituted with --OC(O)--R.sup.d, --OC(O)--R.sup.e, and one
or more further substituents; C1-C6 alkenyl substituted with
--OC(O)--R.sup.d and --OC(O)--R.sup.e; or C1-C6 alkenyl substituted
with --OC(O)--R.sup.d, --OC(O)--R.sup.e, and one or more further
substituents; where the one or more further substituents
independently are hydroxyl, C1-C10 alkyl, hydroxyl C1-C10 alkylene,
C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9 heterocyclic, C1-6 alkoxy
C1-6 alkylene, amino, cyano, halogen or aryl; [0015] each R.sup.d
and R.sup.e independently is C6-C30 alkyl or C6-C30 alkyl
substituted with one or more of hydroxyl, C1-C10 alkyl, hydroxyl
C1-C10 alkylene, C1-C6 alkoxy, C3-C6 cycloalkyl, C1-6 alkoxy C1-6
alkylene, amino, cyano, epoxy, halogen or aryl.
[0016] In certain embodiments, R.sup.d and R.sup.e independently
are a linear and saturated C6-C30 alkyl, and in some embodiments
R.sup.d and R.sup.e are the same or different. Non-limiting
examples of --OC(O)--R.sup.d and --OC(O)--R.sup.e independently
include n-hexanoyl (C6, --OC(O)--(CH.sub.2).sub.4CH.sub.3),
n-octanoyl (C8, --OC(O)--(CH.sub.2).sub.6CH.sub.3), n-decanoyl
(C10, --OC(O)--(CH.sub.2).sub.8CH.sub.3), n-dodecanoyl (C12,
lauroyl, --OC(O)--(CH.sub.2).sub.10CH.sub.3), n-tetradecanoyl (C14,
myristoyl, --OC(O)--(CH.sub.2).sub.12CH.sub.3), n-hexadecanoyl
(C16, palmitoyl, --OC(O)--(CH.sub.2).sub.14CH.sub.3),
n-octadecanoyl (C18, strearoyl,
--OC(O)--(CH.sub.2).sub.16CH.sub.3)), n-eicosanoyl (C20,
arachidoyl, --OC(O)--(CH.sub.2).sub.18CH.sub.3)), n-docosanoyl
(C22, behenoyl, --OC(O)--(CH.sub.2).sub.20CH.sub.3)) and
n-tetracosanoyl (C24, lignoceroyl,
--OC(O)--(CH.sub.2).sub.22CH.sub.3)). R.sup.d and R.sup.e, in some
embodiments, independently are a linear and saturated C8-C18 alkyl,
and sometimes R.sup.d and R.sup.e independently are a linear and
saturated C8, C12 or C18 alkyl. In some embodiments, R.sup.d and
R.sup.e are a linear and saturated C6-C30 alkyl, or a linear C6-C30
alkyl substituted with one or more of hydroxyl, C1-C10 alkyl,
hydroxyl C1-C10 alkylene, C1-C6 alkoxy, C3-C6 cycloalkyl, C1-6
alkoxy C1-6 alkylene, amino, cyano, epoxy, halogen or aryl. In some
embodiments, R.sup.d and R.sup.e are linear and saturated (for
example, SC12), and in some embodiments, R.sup.d and R.sup.e are
linear and non-saturated (for example, Compound A).
[0017] In specific embodiments, each R.sup.d and R.sup.e is a
saturated and linear C12 alkyl. In some embodiments, R.sup.d and
R.sup.e are not substituted by an epoxy moiety, and sometimes
R.sup.d and R.sup.e are not substituted by a hydroxyl moiety. In
specific embodiments, R.sup.d and R.sup.e are not substituted by an
epoxy moiety or a hydroxyl moiety. In various embodiments, R.sup.d
and R.sup.e include no double bond (e.g., no unsaturation).
[0018] In some embodiments, --X.sup.2--X.sup.3--R.sup.3 together
form a structure according to Formula C:
##STR00003##
[0019] In certain embodiments --X.sup.2--X.sup.3--R.sup.3 taken
together form a structure according to Formula D:
##STR00004##
[0020] In some embodiments, X.sup.1 is 0, and sometimes R.sup.1 is
a C1-C10 alkyl substituted with a C1-6 alkoxy. In certain
embodiments n is 0 and X.sup.2 is --C(O)NH--(CH.sub.2).sub.2--.
Sometimes R.sup.3 is a C3 alkyl substituted with --OC(O)--R.sup.d
and --OC(O)--R.sup.e, and in certain embodiments, the R.sup.3 C3
alkyl is substituted with --OC(O)--R.sup.d at position 3 and
--OC(O)--R.sup.e at position 2 of the C3 alkyl (e.g., see Formula
C, where the --PO.sub.4-- moiety is linked to position 1 of the C3
alkyl, the --OC(O)--R.sup.e moiety is at position 2 and the
--OC(O)--R.sup.d moiety is at position 3). In specific embodiments,
X.sup.1 is O, R.sup.1 is --(CH.sub.2).sub.2--OCH.sub.3, n is 0,
X.sup.2 is --C(O)NH--(CH.sub.2).sub.2--, X.sup.3 is --PO.sub.4--,
R.sup.3 is a C3 alkyl substituted with --OC(O)--R.sup.d and
--OC(O)--R.sup.e, and R.sup.d and R.sup.e are a linear and
saturated C12 alkyl.
[0021] In some embodiments, the benzene ring in Formula A or
Formula B is replaced with a non-aromatic ring, a heterocyclic
non-aromatic ring, or a heterocyclic aromatic ring. Examples of
these rings include, for example, those listed herein. For example,
examples of non-aromatic rings include, for example, any 5 or
6-membered, for example, cycloalkyl examples of heterocyclic
non-aromatic rings include, for example, piperidine and piperazine
Examples of heterocyclic aromatic rings include, for example,
pyridine, pyrazine, pyrimidine, pyridazine, and triazine.
[0022] In certain embodiments, a composition comprises a liposome.
A composition in some embodiments comprises an antigen.
[0023] Provided also in some embodiments are immunostimulatory
compositions comprising a compound having a structure described
herein. In certain embodiments, the compound functions as an
adjuvant, and sometimes an immunostimulatory composition comprises
an antigen (e.g., the composition functions as a vaccine). An
immunostimulatory composition in some embodiments comprises a
vaccine, and constitutes a primary vaccine or combination vaccine,
in certain embodiments.
[0024] Also provided are methods of inducing an immune response
comprising administering to a subject a compound having a structure
provided herein. By inducing an immune response is meant inducing
an immune response to a specific antigen, or inducing a general
immune response (in the absence of a specific antigen). In one
embodiment, the compound acts as an adjuvant and so is associated
with a specific, not a general immune response. In one embodiment,
the compound acts as a general immune stimulator. In one
embodiment, the method includes administering to a mammal in need
thereof an amount of an antigen and a compound having a structure
provided herein effective to prevent, inhibit or treat disorders,
including but not limited to bladder cancer or skin cancer. Thus,
in certain embodiments, the immune response is an antigen-specific
immune response. In some embodiments, the immune response is an
antibody response, which sometimes is, for example, a IgG1 or a
IgG2a antibody response. In some embodiments, the antigen is a
microbial antigen, for example, a Malaria antigen may be
administered, in some embodiments, the antigen is an E. coli
antigen. The antigen and the compound sometimes are in one
composition, and in some embodiments the antigen and the compound
are in different compositions. The compound and/or antigen in
certain embodiments is in association with a liposome. The antigen
and the compound may be administered at the same time, or at
different times. In some embodiments, the antigen is administered
before the compound, in other embodiments, the antigen is
administered at the same time as the compound, in other
embodiments, the antigen is administered after the compound.
[0025] In certain embodiments, the immune response is an
antigen-specific immune response. In some embodiments, the immune
response is an antibody response, which sometimes is a IgG2a
antibody response.
[0026] In some embodiments the subject is a mammal, such as a
human, for example. In certain embodiments, the compound is
administered to the bladder, such as by intravesical
instillation/topical delivery, in non-limiting embodiments.
[0027] In some embodiments, the compound is administered to the
skin, for example, by topical delivery. Also provided in certain
embodiments are methods for treating a condition in a subject,
which comprise administering a composition described herein to a
subject in need thereof in an amount effective to treat the
condition. Provided also in some embodiments are methods for
treating a condition in a subject, which comprise administering an
immunostimulatory composition described herein to a subject in need
thereof in an amount effective to treat the condition. The subject
sometimes is a mammal, and can be a human in certain embodiments.
The condition sometimes is a cancer condition, and the condition
can be a microbial infection. In specific embodiments, the
condition is a bladder cancer condition, and the composition can be
administered by intravesical instillation/topical delivery to the
bladder, in certain embodiments. In some embodiments, the cancer is
a skin cancer, and the compounds can be administered locally and/or
topically, for example, by topical delivery to the skin, in a
cream, ointment, gel, lotion or other appropriate vehicle. Skin
precancerous conditions and skin cancers that may be treated
include, for example, actinic keratosis (AK), basal cell carcinoma
(BCC), squamous cell carcinoma (SCC), melanoma and non-melanoma
skin cancer.
[0028] Certain embodiments are described further in the following
description, examples, claims and drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0029] The drawings illustrate embodiments of the technology and
are not limiting. For clarity and ease of illustration, the
drawings are not made to scale and, in some instances, various
aspects may be shown exaggerated or enlarged to facilitate an
understanding of particular embodiments.
[0030] FIG. 1 illustrates cytokine production for compounds in
Raw264.7 mouse macrophage cell line studies.
[0031] FIG. 2 illustrates cytokine production for compounds in
Raw264.7 mouse macrophage cell line studies.
[0032] FIGS. 3A and 3B show survival data for Raw264.7 mouse
macrophage cell line studies.
[0033] FIG. 4 is a graph of IL-6 production for compounds in PBMC
studies for Donor 1.
[0034] FIG. 5 is a graph of IL-6 production for compounds in PBMC
studies for Donor 2.
[0035] FIG. 6 is a graph of IL-6 production for compounds in PBMC
studies for Donor 3.
[0036] FIG. 7 is a graph of TNF-alpha production for compounds in
PBMC studies for Donor 1.
[0037] FIG. 8 is a graph of TNF-alpha production for compounds in
PBMC studies for Donor 2.
[0038] FIG. 9 is a graph of TNF-alpha production for compounds in
PBMC studies for Donor 3.
[0039] FIGS. 10A-10G provide survival data for PBMC studies.
[0040] FIG. 11 shows structures and molecular weights of
phospholipid analogs SC8, SC12 and SC18.
[0041] FIG. 12 shows MFI values for CD40 expression on double
positive HLA-DR+/CD20+ B cells after 24 hours incubation with test
reagents as indicated, performed on whole blood from three
donors.
[0042] FIGS. 13A and 13B illustrate MFI values for CD80, CD86, and
CCR7 expression in HLA-DR+/CD11c+/CD123-mDCs after 24 hour
incubation with test reagents as indicated, performed on whole
blood from Donor 2.
[0043] FIGS. 14A and 14B show MFI values for CD80, CD86, and CCR7
expression in HLA-DR+/CD11c+/CD123-mDCs after 24 hour incubation
with test reagents as indicated, performed on whole blood from
Donor 3.
[0044] FIGS. 15A and 15B illustrate MFI values for CD80, CD86, and
CCR7 expression in HLA-DR+/CD11c+/CD123-mDCs after 24 hour
incubation with test reagents as indicated, performed on whole
blood from Donor 1.
[0045] FIGS. 16A-16C show MFI values for CD80, CD86, and CCR7
expression in HLA-DR+/CD11c-/CD123+ pDCs after 24 hour incubation
with test reagents as indicated, performed on whole blood from
three donors (D1-D3).
[0046] FIGS. 17A-17D are a collection of bar charts of the
cytotoxic effects of SC12 and Imiquimod on cells. Cutaneous SCC
cell lines were used to continuously monitor of electric
conductance in microtiter wells (E-plates, Roche), which correspond
to the cell numbers. TMX indicates SC12 in the charts.
[0047] FIG. 18 is a collection of photographs of cells contacted
with SC12 or Imiquimod. Similar morphological changes were induced
by SC12 and Imiquimod. At day 3, cell detachment, morphological
changes and inhibition of proliferation can be observed in SCC
cells treated with either SC12 or Imiquimod.
[0048] FIGS. 19A and 19B show the development of IgG titers against
the M. ulcerans antigen, (upper: Compound A, lower, SC12).
[0049] FIGS. 20A and 20B provide an example of a synthetic scheme
for synthesis of Compound A and SC12.
[0050] FIGS. 21A and 21B provide an example of a synthetic scheme
for synthesis of Compound A and SC12.
[0051] FIGS. 22A and 22B provide an example of a synthetic scheme
for synthesis of Compound A and SC12.
[0052] FIGS. 23A and 23B provide an example of a synthetic scheme
for synthesis of Compound A and SC12.
DETAILED DESCRIPTION
[0053] Compositions provided herein may be useful for treating
certain conditions, such as cell proliferation conditions, for
example. A variety of cell proliferation conditions exist,
superficial bladder cancer being an example of one type.
Compositions provided herein also may serve as a vaccine, and
compounds described may facilitate an immune response and provide
adjuvant activity.
[0054] Compositions provided include phospholipid analogs in
certain embodiments. A phospholipid analog often includes a
pharmocophore portion and a phospholipid, or phospholipid-like,
portion conjugated to the pharmacophore portion via a linker.
[0055] Without being limited by theory, compositions described
herein may modulate an activity of one or more toll-like receptors
(e.g., the conjugates are agonists, antagonists, or both). The term
"toll-like receptor" (TLR) refers to a member of a family of
receptors that bind to pathogen-associated molecular patterns
(PAMPs) and facilitate an immune response in a mammal. Ten
mammalian TLRs are known, e.g., TLR1-10. The term "toll-like
receptor agonist" (TLR agonist) refers to a molecule that interacts
with a TLR and stimulates the activity of the receptor. Synthetic
TLR agonists are chemical compounds that are designed to interact
with a TLR and stimulate the activity of the receptor. The term
"toll-like receptor antagonist" (TLR antagonist) refers to a
molecule that interacts with a TLR and inhibits or neutralizes the
signaling activity of the receptor.
[0056] Synthetic TLR antagonists are chemical compounds designed to
interact with a TLR and interfere with the activity of the
receptor. Agonists and/or antagonists of a TLR sometimes modulate
the activity of a TLR-7, TLR-3 or TLR-9. Local activation of a TLR
may disrupt cancer cell-matrix interactions required for growth and
survival of malignant cells and may induce apoptosis.
[0057] Also, without being limited by theory, compounds provided
herein can be characterized as having an advantageous stability.
For example, certain compounds described herein can be
characterized as having an advantageous chemical stability and/or
metabolic stability under physiologic conditions.
Compounds
[0058] As used herein, the terms "alkyl," "alkenyl" and "alkynyl"
include straight-chain (referred to herein as "linear"),
branched-chain (referred to herein as "non-linear"), cyclic
monovalent hydrocarbyl radicals, and combinations of these, which
contain only C and H atoms when they are unsubstituted.
Non-limiting examples of alkyl moieties include methyl, ethyl,
isobutyl, cyclohexyl, cyclopentylethyl, 2-propenyl, 3-butynyl, and
the like. The total number of carbon atoms in each such group is
sometimes described herein, e.g., when the group can contain up to
ten carbon atoms it can be represented as 1-10 C or as C1-C10 or
C1-10. When heteroatoms (N, O and S typically) are allowed to
replace carbon atoms as in heteroalkyl groups, for example, the
numbers describing the group, though still written as e.g. C1-C6,
represent the sum of the number of carbon atoms in the group plus
the number of such heteroatoms that are included as replacements
for carbon atoms in the backbone of the ring or chain being
described. An alkyl that contains only C and H atoms and is
unsubstituted sometimes is referred to as "saturated." An alkenyl
or alkynyl generally is "unsaturated" as it contains one or more
double bonds or triple bonds, respectively. An alkenyl can include
any number of double bonds, such as 1, 2, 3, 4 or 5 double bonds,
for example. An alkynyl can include any number of triple bonds,
such as 1, 2, 3, 4 or 5 triple bonds, for example.
[0059] Alkyl, alkenyl and alkynyl substituents sometimes contain
1-10 C (alkyl) or 2-10 C (alkenyl or alkynyl). They can contain 1-8
C (alkyl) or 2-8 C (alkenyl or alkynyl) in some embodiments.
Sometimes they contain 1-4 C (alkyl) or 2-4 C (alkenyl or alkynyl).
A single group can include more than one type of multiple bond, or
more than one multiple bond. Such groups are included within the
definition of the term "alkenyl" when they contain at least one
carbon-carbon double bond, and are included within the term
"alkynyl" when they contain at least one carbon-carbon triple
bond.
[0060] Alkyl, alkenyl and alkynyl groups often are optionally
substituted to the extent that such substitution can be synthesized
and can exist. Typical substituents include, but are not limited
to, halo, .dbd.O, .dbd.N--CN, .dbd.N--OR, .dbd.NR, OR, NR.sub.2,
SR, SO.sub.2R, SO.sub.2NR.sub.2, NRSO.sub.2R, NRCONR.sub.2, NRCOOR,
NRCOR, CN, COOR, CONR.sub.2, OOCR, COR, and NO.sub.2, wherein each
R is independently H, C1-C8 alkyl, C2-C8 heteroalkyl, C1-C8 acyl,
C2-C8 heteroacyl, C2-C8 alkenyl, C2-C8 heteroalkenyl, C2-C8
alkynyl, C2-C8 heteroalkynyl, C6-C10 aryl, or C5-C10 heteroaryl,
and each R is optionally substituted with halo, .dbd.O, .dbd.N--CN,
.dbd.N--OR', .dbd.NR', OR', NR'.sub.2, SR', SO.sub.2R',
SO.sub.2NR'.sub.2, NR'SO.sub.2R', NR'CONR'.sub.2, NR'COOR',
NR'COR', CN, COOR', CONR.sub.12, OOCR', COR', and NO.sub.2, wherein
each R' is independently H, C1-C8 alkyl, C2-C8 heteroalkyl, C1-C8
acyl, C2-C8 heteroacyl, C6-C10 aryl or C5-C10 heteroaryl. Alkyl,
alkenyl and alkynyl groups can also be substituted by C1-C8 acyl,
C2-C8 heteroacyl, C6-C10 aryl or C5-C10 heteroaryl, each of which
can be substituted by the substituents that are appropriate for the
particular group.
[0061] "Acetylene" substituents are 2-10 C alkynyl groups that are
optionally substituted, and are of the formula --C.ident.C--Ri,
wherein Ri is H or C1-C8 alkyl, C2-C8 heteroalkyl, C2-C8 alkenyl,
C2-C8 heteroalkenyl, C2-C8 alkynyl, C2-C8 heteroalkynyl, C1-C8
acyl, C2-C8 heteroacyl, C6-C10 aryl, C5-C10 heteroaryl, C7-C12
arylalkyl, or C6-C12 heteroarylalkyl, and each Ri group is
optionally substituted with one or more substituents selected from
halo, .dbd.O, .dbd.N--CN, .dbd.N--OR', .dbd.NR', OR', NR'2, SR',
SO.sub.2R', SO.sub.2NR'.sub.2, NR'SO.sub.2R', NR'CONR'.sub.2,
NR'COOR', NR'COR', CN, COOR', CONR'.sub.2, OOCR', COR', and
NO.sub.2, wherein each R' is independently H, C1-C6 alkyl, C2-C6
heteroalkyl, C1-C6 acyl, C2-C6 heteroacyl, C6-C10 aryl, C5-C10
heteroaryl, C7-12 arylalkyl, or C6-12 heteroarylalkyl, each of
which is optionally substituted with one or more groups selected
from halo, C1-C4 alkyl, C1-C4 heteroalkyl, C1-C6 acyl, C1-C6
heteroacyl, hydroxy, amino, and .dbd.O; and where two R' can be
linked to form a 3-7 membered ring optionally containing up to
three heteroatoms selected from N, O and S. In some embodiments, Ri
of --C.ident.C--Ri is H or Me.
[0062] "Heteroalkyl", "heteroalkenyl", and "heteroalkynyl" and the
like are defined similarly to the corresponding hydrocarbyl (alkyl,
alkenyl and alkynyl) groups, but the `hetero` terms refer to groups
that contain one to three O, S or N heteroatoms or combinations
thereof within the backbone residue; thus at least one carbon atom
of a corresponding alkyl, alkenyl, or alkynyl group is replaced by
one of the specified heteroatoms to form a heteroalkyl,
heteroalkenyl, or heteroalkynyl group. The typical and preferred
sizes for heteroforms of alkyl, alkenyl and alkynyl groups are
generally the same as for the corresponding hydrocarbyl groups, and
the substituents that may be present on the heteroforms are the
same as those described above for the hydrocarbyl groups. For
reasons of chemical stability, it is also understood that, unless
otherwise specified, such groups do not include more than two
contiguous heteroatoms except where an oxo group is present on N or
S as in a nitro or sulfonyl group.
[0063] While "alkyl" as used herein includes cycloalkyl and
cycloalkylalkyl groups, the term "cycloalkyl" may be used herein to
describe a carbocyclic non-aromatic group that is connected via a
ring carbon atom, and "cycloalkylalkyl" may be used to describe a
carbocyclic non-aromatic group that is connected to the molecule
through an alkyl linker. Similarly, "heterocyclyl" may be used to
describe a non-aromatic cyclic group that contains at least one
heteroatom as a ring member and that is connected to the molecule
via a ring atom, which may be C or N; and "heterocyclylalkyl" may
be used to describe such a group that is connected to another
molecule through a linker. The sizes and substituents that are
suitable for the cycloalkyl, cycloalkylalkyl, heterocyclyl, and
heterocyclylalkyl groups are the same as those described above for
alkyl groups. As used herein, these terms also include rings that
contain a double bond or two, as long as the ring is not
aromatic.
[0064] As used herein, "acyl" encompasses groups comprising an
alkyl, alkenyl, alkynyl, aryl or arylalkyl radical attached at one
of the two available valence positions of a carbonyl carbon atom,
and heteroacyl refers to the corresponding groups wherein at least
one carbon other than the carbonyl carbon has been replaced by a
heteroatom chosen from N, O and S. Thus heteroacyl includes, for
example, --C(.dbd.O)OR and --C(.dbd.O)NR.sub.2 as well as
--C(.dbd.O)-heteroaryl.
[0065] Acyl and heteroacyl groups are bonded to any group or
molecule to which they are attached through the open valence of the
carbonyl carbon atom. Typically, they are C1-C8 acyl groups, which
include formyl, acetyl, pivaloyl, and benzoyl, and C2-C8 heteroacyl
groups, which include methoxyacetyl, ethoxycarbonyl, and
4-pyridinoyl. The hydrocarbyl groups, aryl groups, and heteroforms
of such groups that comprise an acyl or heteroacyl group can be
substituted with the substituents described herein as generally
suitable substituents for each of the corresponding component of
the acyl or heteroacyl group.
[0066] "Aromatic" moiety or "aryl" moiety refers to a monocyclic or
fused bicyclic moiety having the well-known characteristics of
aromaticity; examples include phenyl and naphthyl. Similarly,
"heteroaromatic" and "heteroaryl" refer to such monocyclic or fused
bicyclic ring systems which contain as ring members one or more
heteroatoms selected from O, S and N. The inclusion of a heteroatom
permits aromaticity in 5 membered rings as well as 6 membered
rings. Typical heteroaromatic systems include monocyclic C5-C6
aromatic groups such as pyridyl, pyrimidyl, pyrazinyl, thienyl,
furanyl, pyrrolyl, pyrazolyl, thiazolyl, oxazolyl, and imidazolyl
and the fused bicyclic moieties formed by fusing one of these
monocyclic groups with a phenyl ring or with any of the
heteroaromatic monocyclic groups to form a C8-C10 bicyclic group
such as indolyl, benzimidazolyl, indazolyl, benzotriazolyl,
isoquinolyl, quinolyl, benzothiazolyl, benzofuranyl,
pyrazolopyridyl, quinazolinyl, quinoxalinyl, cinnolinyl, and the
like. Any monocyclic or fused ring bicyclic system which has the
characteristics of aromaticity in terms of electron distribution
throughout the ring system is included in this definition. It also
includes bicyclic groups where at least the ring which is directly
attached to the remainder of the molecule has the characteristics
of aromaticity. Typically, the ring systems contain 5-12 ring
member atoms. The monocyclic heteroaryls sometimes contain 5-6 ring
members, and the bicyclic heteroaryls sometimes contain 8-10 ring
members.
[0067] Aryl and heteroaryl moieties may be substituted with a
variety of substituents including C1-C8 alkyl, C2-C8 alkenyl, C2-C8
alkynyl, C5-C12 aryl, C1-C8 acyl, and heteroforms of these, each of
which can itself be further substituted; other substituents for
aryl and heteroaryl moieties include halo, OR, NR.sub.2, SR,
SO.sub.2R, SO.sub.2NR.sub.2, NRSO.sub.2R, NRCONR.sub.2, NRCOOR,
NRCOR, CN, COOR, CONR.sub.2, OOCR, COR, and NO.sub.2, wherein each
R is independently H, C1-C8 alkyl, C2-C8 heteroalkyl, C2-C8
alkenyl, C2-C8 heteroalkenyl, C2-C8 alkynyl, C2-C8 heteroalkynyl,
C6-C10 aryl, C5-C10 heteroaryl, C7-C12 arylalkyl, or C6-C12
heteroarylalkyl, and each R is optionally substituted as described
above for alkyl groups. The substituent groups on an aryl or
heteroaryl group may be further substituted with the groups
described herein as suitable for each type of such substituents or
for each component of the substituent. Thus, for example, an
arylalkyl substituent may be substituted on the aryl portion with
substituents typical for aryl groups, and it may be further
substituted on the alkyl portion with substituents as typical or
suitable for alkyl groups.
[0068] Similarly, "arylalkyl" and "heteroarylalkyl" refer to
aromatic and heteroaromatic ring systems which are bonded to their
attachment point through a linking group such as an alkylene,
including substituted or unsubstituted, saturated or unsaturated,
cyclic or acyclic linkers. A linker often is C1-C8 alkyl or a
hetero form thereof. These linkers also may include a carbonyl
group, thus making them able to provide substituents as an acyl or
heteroacyl moiety. An aryl or heteroaryl ring in an arylalkyl or
heteroarylalkyl group may be substituted with the same substituents
described above for aryl groups. An arylalkyl group sometimes
includes a phenyl ring optionally substituted with the groups
defined above for aryl groups and a C1-C4 alkylene that is
unsubstituted or is substituted with one or two C1-C4 alkyl groups
or heteroalkyl groups, where the alkyl or heteroalkyl groups can
optionally cyclize to form a ring such as cyclopropane, dioxolane,
or oxacyclopentane. Similarly, a heteroarylalkyl group often
includes a C5-C6 monocyclic heteroaryl group optionally substituted
with one or more of the groups described above as substituents
typical on aryl groups and a C1-C4 alkylene that is unsubstituted.
A heteroarylalkyl group sometimes is substituted with one or two
C1-C4 alkyl groups or heteroalkyl groups, or includes an optionally
substituted phenyl ring or C5-C6 monocyclic heteroaryl and a C1-C4
heteroalkylene that is unsubstituted or is substituted with one or
two C1-C4 alkyl or heteroalkyl groups, where the alkyl or
heteroalkyl groups can optionally cyclize to form a ring such as
cyclopropane, dioxolane, or oxacyclopentane.
[0069] Where an arylalkyl or heteroarylalkyl group is described as
optionally substituted, the substituents may be on the alkyl or
heteroalkyl portion or on the aryl or heteroaryl portion of the
group. The substituents optionally present on the alkyl or
heteroalkyl portion sometimes are the same as those described above
for alkyl groups, and the substituents optionally present on the
aryl or heteroaryl portion often are the same as those described
above for aryl groups generally.
[0070] "Arylalkyl" groups as used herein are hydrocarbyl groups if
they are unsubstituted, and are described by the total number of
carbon atoms in the ring and alkylene or similar linker. Thus a
benzyl group is a C7-arylalkyl group, and phenylethyl is a
C8-arylalkyl.
[0071] "Heteroarylalkyl" as described above refers to a moiety
comprising an aryl group that is attached through a linking group,
and differs from "arylalkyl" in that at least one ring atom of the
aryl moiety or one atom in the linking group is a heteroatom
selected from N, O and S. The heteroarylalkyl groups are described
herein according to the total number of atoms in the ring and
linker combined, and they include aryl groups linked through a
heteroalkyl linker; heteroaryl groups linked through a hydrocarbyl
linker such as an alkylene; and heteroaryl groups linked through a
heteroalkyl linker. Thus, for example, C7-heteroarylalkyl includes
pyridylmethyl, phenoxy, and N-pyrrolylmethoxy.
[0072] "Alkylene" as used herein refers to a divalent hydrocarbyl
group. Because an alkylene is divalent, it can link two other
groups together. An alkylene often is referred to as
--(CH.sub.2).sub.n-- where n can be 1-20, 1-10, 1-8, or 1-4, though
where specified, an alkylene can also be substituted by other
groups, and can be of other lengths, and the open valences need not
be at opposite ends of a chain. Thus --CH(Me)- and --C(Me).sub.2-
may also be referred to as alkylenes, as can a cyclic group such as
cyclopropan-1,1-diyl. Where an alkylene group is substituted, the
substituents include those typically present on alkyl groups as
described herein.
[0073] A suitable linker can be utilized to construct a
phospholipid analog (e.g., X.sup.2), and multiple linkers are
known. Non-limiting examples of linkers include --(Y).sub.y--,
--(Y).sub.y--C(O)N--(Z).sub.z--,
--(CH.sub.2).sub.y--C(O)N--(CH.sub.2).sub.z--,
--(Y).sub.y--NC(O)--(Z).sub.z--,
--(CH.sub.2).sub.y--NC(O)--(CH.sub.2).sub.z--, where each y
(subscript) and z (subscript) independently is 0 to 20 and each Y
and Z independently is C1-C10 alkyl, substituted C1-C10 alkyl,
C1-C10 alkoxy, substituted C1-C10 alkoxy, C3-C9 cycloalkyl,
substituted C3-C9 cycloalkyl, C5-C10 aryl, substituted C5-C10 aryl,
C5-C9 heterocyclic, substituted C5-C9 heterocyclic, C1-C6 alkanoyl,
Het, Het C1-C6 alkyl, or C1-C6 alkoxycarbonyl, wherein the
substituents on the alkyl, cycloalkyl, alkanoyl, alkcoxycarbonyl,
Het, aryl or heterocyclic groups are hydroxyl, C1-C10 alkyl,
hydroxyl C1-C10 alkylene, C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9
heterocyclic, C1-6 alkoxy C1-6 alkenyl, amino, cyano, halogen or
aryl. In certain embodiments, a linker sometimes is a
--C(Y')(Z')--C(Y'')(Z'')-- linker, where each Y', Y'', Z' and Z''
independently is hydrogen C1-C10 alkyl, substituted C1-C10 alkyl,
C1-C10 alkoxy, substituted C1-C10 alkoxy, C3-C9 cycloalkyl,
substituted C3-C9 cycloalkyl, C5-C10 aryl, substituted C5-C10 aryl,
C5-C9 heterocyclic, substituted C5-C9 heterocyclic, C1-C6 alkanoyl,
Het, Het C1-C6 alkyl, or C1-C6 alkoxycarbonyl, wherein the
substituents on the alkyl, cycloalkyl, alkanoyl, alkcoxycarbonyl,
Het, aryl or heterocyclic groups are hydroxyl, C1-C10 alkyl,
hydroxyl C1-C10 alkylene, C1-C6 alkoxy, C3-C9 cycloalkyl, C5-C9
heterocyclic, C1-6 alkoxy C1-6 alkenyl, amino, cyano, halogen or
aryl. Certain non-limiting examples of linkers that can be utilized
include the following:
##STR00005##
[0074] In some embodiments, a linker is selected that results in a
suitable plasma stability. A suitable stability sometimes is about
60% or more (e.g., about 65%, 70%, 75%, 80%, 85%, 90%) of the
conjugate analog present after contact with human plasma for about
300 minutes.
[0075] In general, any alkyl, alkenyl, alkynyl, acyl, or aryl or
arylalkyl group, or any heteroform of one of these groups, that is
contained in a substituent may itself optionally be substituted by
additional substituents. The nature of these substituents is
similar to those recited with regard to the primary substituents
themselves if the substituents are not otherwise described. Thus,
where an embodiment of, for example, R.sup.1 is alkyl, this alkyl
may optionally be substituted by the remaining substituents listed
as embodiments for R.sup.1 where this makes chemical sense, and
where this does not undermine the size limit provided for the alkyl
per se; e.g., alkyl substituted by alkyl or by alkenyl would simply
extend the upper limit of carbon atoms for these embodiments, and
is not included. However, alkyl substituted by aryl, amino, alkoxy,
.dbd.O, and the like would be included within the scope of the
invention, and the atoms of these substituent groups are not
counted in the number used to describe the alkyl, alkenyl, etc.
group that is being described. Where no number of substituents is
specified, each such alkyl, alkenyl, alkynyl, acyl, or aryl group
may be substituted with a number of substituents according to its
available valences; in particular, any of these groups may be
substituted with fluorine atoms at any or all of its available
valences, for example.
[0076] "Heteroform" as used herein refers to a derivative of a
group such as an alkyl, aryl, or acyl, wherein at least one carbon
atom of the designated carbocyclic group has been replaced by a
heteroatom selected from N, O and S. Thus the heteroforms of alkyl,
alkenyl, alkynyl, acyl, aryl, and arylalkyl are heteroalkyl,
heteroalkenyl, heteroalkynyl, heteroacyl, heteroaryl, and
heteroarylalkyl, respectively. It is understood that no more than
two N, O or S atoms are ordinarily connected sequentially, except
where an oxo group is attached to N or S to form a nitro or
sulfonyl group. A heteroform moiety sometimes is referred to as
"Het" herein.
[0077] "Halo" or "halogen," as used herein includes fluoro, chloro,
bromo and iodo. Fluoro and chloro are often preferred. "Amino" as
used herein refers to NH.sub.2, but where an amino is described as
"substituted" or "optionally substituted", the term includes NR'R''
wherein each R' and R'' is independently H, or is an alkyl,
alkenyl, alkynyl, acyl, aryl, or arylalkyl group or a heteroform of
one of these groups, and each of the alkyl, alkenyl, alkynyl, acyl,
aryl, or arylalkyl groups or heteroforms of one of these groups is
optionally substituted with the substituents described herein as
suitable for the corresponding group. The term also includes forms
wherein R' and R'' are linked together to form a 3-8 membered ring
which may be saturated, unsaturated or aromatic and which contains
1-3 heteroatoms independently selected from N, O and S as ring
members, and which is optionally substituted with the substituents
described as suitable for alkyl groups or, if NR'R'' is an aromatic
group, it is optionally substituted with the substituents described
as typical for heteroaryl groups.
[0078] As used herein, the term "carbocycle" refers to a cyclic
compound containing only carbon atoms in the ring, whereas a
"heterocycle" refers to a cyclic compound comprising a heteroatom.
The carbocyclic and heterocyclic structures encompass compounds
having monocyclic, bicyclic or multiple ring systems. As used
herein, the term "heteroatom" refers to any atom that is not carbon
or hydrogen, such as nitrogen, oxygen or sulfur. Illustrative
examples of heterocycles include but are not limited to
tetrahydrofuran, 1,3 dioxolane, 2,3 dihydrofuran, pyran,
tetrahydropyran, benzofuran, isobenzofuran, 1,3 dihydro
isobenzofuran, isoxazole, 4,5 dihydroisoxazole, piperidine,
pyrrolidine, pyrrolidin 2 one, pyrrole, pyridine, pyrimidine,
octahydro pyrrolo[3,4 b]pyridine, piperazine, pyrazine, morpholine,
thiomorpholine, imidazole, imidazolidine 2,4 dione, 1,3
dihydrobenzimidazol 2 one, indole, thiazole, benzothiazole,
thiadiazole, thiophene, tetrahydro thiophene 1,1 dioxide,
diazepine, triazole, guanidine, diazabicyclo[2.2.1]heptane, 2,5
diazabicyclo[2.2.1]heptane, 2,3,4,4a,9,9a hexahydro 1H beta
carboline, oxirane, oxetane, tetrahydropyran, dioxane, lactones,
aziridine, azetidine, piperidine, lactams, and may also encompass
heteroaryls. Other illustrative examples of heteroaryls include but
are not limited to furan, pyrrole, pyridine, pyrimidine, imidazole,
benzimidazole and triazole.
[0079] In some cases, compounds described herein contain one or
more chiral centers. The technology includes each of the isolated
stereoisomeric forms as well as mixtures of stereoisomers in
varying degrees of chiral purity, including racemic mixtures. It
also encompasses the various diastereomers and tautomers that can
be formed. A compound described herein also may exist in one or
more tautomeric forms. For example, when R is --OH, a compound
described herein may exist in one or more tautomeric forms. A
compound described herein can exist as a particular salt.
Non-limiting examples of pharmaceutically acceptable salts are
described herein.
[0080] The term "optionally substituted" as used herein indicates
that the particular group or groups being described may have no
non-hydrogen substituents, or the group or groups may have one or
more non-hydrogen substituents. If not otherwise specified, the
total number of such substituents that may be present is equal to
the number of H atoms present on the unsubstituted form of the
group being described. Where an optional substituent is attached
via a double bond, such as a carbonyl oxygen (.dbd.O), the group
takes up two available valences, so the total number of
substituents that may be included is reduced according to the
number of available valences.
Phospholipid Analog Pharmacophores
[0081] Provided in certain embodiments are compositions comprising
a compound according to Formula E:
P.sup.1--X.sup.2--X.sup.3--R.sup.3 Formula E
or a pharmaceutically acceptable salt or hydrate thereof, where
X.sup.2, X.sup.3 and R.sup.3 are as described above, and P.sup.1 is
a pharmacophore.
[0082] In some embodiments, provided also are compositions
comprising a compound according to Formula F or Formula G:
##STR00006##
or a pharmaceutically acceptable salt or hydrate thereof, where
X.sup.2, X.sup.3, R.sup.3, R.sup.d and R.sup.e are as described
above, and P.sup.1 is a pharmacophore.
[0083] With regard to compounds having a structure according to
Formula E, F or G, R.sup.d and R.sup.e independently are a linear
and saturated C6-C30 alkyl in certain embodiments. In some
embodiments R.sup.d and R.sup.e are the same or different. In some
embodiments, R.sup.d and R.sup.e independently include 1, 2, 3, 4
or 5 double bonds (e.g., unsaturations). In certain embodiments,
R.sup.d and R.sup.e are not substituted by an epoxy moiety, and
sometimes R.sup.d and R.sup.e are not substituted by a hydroxyl
moiety. In specific embodiments, R.sup.d and R.sup.e are not
substituted by an epoxy moiety or a hydroxyl moiety. In various
embodiments, R.sup.d and R.sup.e include no double bond (e.g., no
unsaturation).
[0084] With regard to compounds having a structure according to
Formula E, F or G, a pharmacophore P.sup.1 can by any molecule that
exhibits an immunostimulatory activity. In certain embodiments, a
pharmacophore P.sup.1 has a structure according to Formula H:
##STR00007##
or a pharmaceutically acceptable salt thereof, where a
phospholipid, or a phospholipid-like, structure is linked to the
pharmacophore at any suitable linkage point, and where: [0085]
R.sup.10, R.sup.20, and R.sup.30 in Formula H are each
independently hydrogen; cyclic alkyl of three, four, or five carbon
atoms; straight chain or branched chain alkyl containing one to
about ten carbon atoms and substituted straight chain or branched
chain alkyl containing one to about ten carbon atoms, wherein the
substituent is selected from the group consisting of cycloalkyl
containing three to about six carbon atoms and cycloalkyl
containing three to about six carbon atoms substituted by straight
chain or branched chain alkyl containing one to about four carbon
atoms; fluoro- or chloroalkyl containing from one to about ten
carbon atoms and one or more fluorine or chlorine atoms; straight
chain or branched chain alkenyl containing two to about ten carbon
atoms and substituted straight chain or branched chain alkenyl
containing two to about ten carbon atoms, wherein the substituent
is selected from the group consisting of cycloalkyl containing
three to about six carbon atoms and cycloalkyl containing three to
about six carbon atoms substituted by straight chain or branched
chain alkyl containing one to about four carbon atoms; hydroxyalkyl
of one to about six carbon atoms; alkoxyalkyl wherein the alkoxy
moiety contains one to about four carbon atoms and the alkyl moiety
contains one to about six carbon atoms; acyloxyalkyl wherein the
acyloxy moiety is alkanoyloxy of two to about four carbon atoms or
benzoyloxy, and the alkyl moiety contains one to about six carbon
atoms, with the proviso that any such alkyl, substituted alkyl,
alkenyl, substituted alkenyl, hydroxyalkyl, alkoxyalkyl, or
acyloxyalkyl group does not have a fully carbon substituted carbon
atom bonded directly to the nitrogen atom; benzyl; (phenyl)ethyl;
and phenyl; said benzyl, (phenyl)ethyl or phenyl substituent being
optionally substituted on the benzene ring by one or two moieties
independently selected from the group consisting of alkyl of one to
about four carbon atoms, alkoxy of one to about four carbon atoms,
and halogen, with the proviso that when said benzene ring is
substituted by two of said moieties, then the moieties together
contain no more than six carbon atoms; --CHR.sub.xR.sub.y wherein
R.sub.y is hydrogen or a carbon-carbon bond, with the proviso that
when R.sub.y is hydrogen R.sub.x is alkoxy of one to about four
carbon atoms, hydroxyalkoxy of one to about four carbon atoms,
1-alkynyl of two to about ten carbon atoms, tetrahydropyranyl,
alkoxyalkyl wherein the alkoxy moiety contains one to about four
carbon atoms and the alkyl moiety contains one to about four carbon
atoms, 2-, 3-, or 4-pyridyl, and with the further proviso that when
R.sub.y is a carbon-carbon bond R.sub.y and R.sub.x together form a
tetrahydrofuranyl group optionally substituted with one or more
substituents independently selected from the group consisting of
hydroxy or hydroxyalkyl of one to about four carbon atoms; straight
chain or branched chain alkyl containing one to about eight carbon
atoms, straight chain or branched chain hydroxyalkyl containing one
to about six carbon atoms, morpholinomethyl, benzyl, (phenyl)ethyl
and phenyl, the benzyl, (phenyl)ethyl or phenyl substituent being
optionally substituted on the benzene ring by a moiety selected
from the group consisting of methyl, methoxy, or halogen; or [0086]
--C(R.sub.S)(R.sub.T)(X) wherein R.sub.S and R.sub.T are
independently selected from the group consisting of hydrogen, alkyl
of one to about four carbon atoms, phenyl, and substituted phenyl
wherein the substituent is selected from the group consisting of
alkyl of one to about four carbon atoms, alkoxy of one to about
four carbon atoms, and halogen; and [0087] X is alkoxy containing
one to about four carbon atoms, alkoxyalkyl wherein the alkoxy
moiety contains one to about four carbon atoms and the alkyl moiety
contains one to about four carbon atoms, haloalkyl of one to about
four carbon atoms, alkylamido wherein the alkyl group contains one
to about four carbon atoms, amino, substituted amino wherein the
substituent is alkyl or hydroxyalkyl of one to about four carbon
atoms, azido, alkylthio of one to about four carbon atoms, or
morpholinoalkyl wherein the alkyl moiety contains one to about four
carbon atoms; [0088] R.sup.40 in Formula H is hydrogen, C.sub.1-8
alkyl, C.sub.1-8 alkoxy, or halo; [0089] nn in Formula H is 1, 2,
3, or 4; [0090] R.sup.aa and R.sup.bb in Formula H are each
independently hydrogen, (C.sub.1-C.sub.6)alkyl,
hydroxy(C.sub.1-C.sub.6)alkyl, adamantyl,
adamantyl(C.sub.1-C.sub.6)alkyl, amino(C.sub.1-C.sub.6)alkyl,
aminosulfonyl, (C.sub.1-C.sub.6)alkanoyl, aryl, or benzyl; or
R.sup.aa and R.sup.bb together with the nitrogen to which they are
attached form a pyrrolidino, piperidino, or morpholino group; and
[0091] the dashed lines in the five membered ring of Formula H
denote an optional bond that connects a nitrogen of the five
membered ring to the carbon that is between the two nitrogens of
the five membered ring, and when the bond is present, either
R.sup.10 or R.sup.30 is absent.
[0092] In some embodiments, one of R.sup.aa or R.sup.bb in Formula
H independently is --X.sup.2--X.sup.3--R.sup.3, or has a structure
according to Formula C or Formula D, and the other R.sup.aa or
R.sup.bb is hydrogen, C1-C6 alkyl or C1-C6 alkoxy.
[0093] In certain embodiments, a pharmacophore P.sup.1 has a
structure according to Formula I
##STR00008##
or a pharmaceutically acceptable salt thereof, where a
phospholipid, or a phospholipid-like, structure is linked to the
pharmacophore at any suitable linkage point, and where R.sup.aa and
R.sup.bb are as defined above. In some embodiments, one of R.sup.aa
or R.sup.bb in Formula I is --X.sup.2--X.sup.3--R.sup.3, or has a
structure according to Formula C or Formula D, and the other
R.sup.aa or R.sup.bb is hydrogen, C1-C6 alkyl or C1-C6 alkoxy.
[0094] Also with regard to compounds having a structure according
to Formula E, F or G, a pharmacophore P.sup.1, in certain
embodiments, has a structure according to Formula J or Formula
K:
##STR00009##
or a pharmaceutically acceptable salt thereof, where a
phospholipid, or a phospholipid-like, structure is linked to the
pharmacophore at any suitable linkage point, where R.sup.40, nn,
R.sup.aa and R.sup.bb are as defined above, and where R.sup.cc is
hydrogen, C1-C6 alkyl or C1-C6 alkoxy. In some embodiments, one of
R.sup.aa or R.sup.bb in Formula J or Formula K is
--X.sup.2--X.sup.3--R.sup.3, or has a structure according to
Formula C or Formula D, and the other R.sup.aa or R.sup.bb is
hydrogen, C1-C6 alkyl or C1-C6 alkoxy. In the latter embodiments
R.sup.cc sometimes is hydrogen. In certain embodiments, R.sup.cc n
Formula J or Formula K is --X.sup.2--X.sup.3--R.sup.3, or has a
structure according to Formula C or Formula D. In the latter
embodiments, R.sup.aa or R.sup.bb independently are hydrogen, C1-C6
alkyl or C1-C6 alkoxy.
Pharmaceutical Compositions and Formulations
[0095] A compound described herein can be prepared as a
pharmaceutically acceptable salt. As used herein, the term
"pharmaceutically acceptable salt" refers to a derivative of the
disclosed compounds where the parent compound is modified by making
acid or base salts thereof. Examples of pharmaceutically acceptable
salts include, but are not limited to, mineral or organic acid
salts of basic residues such as amines; alkali or organic salts of
acidic residues such as carboxylic acids; and the like.
Pharmaceutically acceptable salts include conventional non-toxic
salts or quaternary ammonium salts of the parent compound formed,
for example, from non-toxic inorganic or organic acids. For
example, conventional non-toxic salts include those derived from
inorganic acids such as hydrochloric, hydrobromic, sulfuric,
sulfamic, phosphoric, nitric and the like; and the salts prepared
from organic acids such as acetic, propionic, succinic, glycolic,
stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic,
hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic,
sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic,
methanesulfonic, ethane disulfonic, oxalic, isethionic, and the
like. In other examples, conventional non-toxic salts include those
derived from bases, such as potassium hydroxide, sodium hydroxide,
ammonium hydroxide, caffeine, various amines, and the like.
Pharmaceutically acceptable salts can be synthesized from the
parent compound, which contains a basic or acidic moiety, by
conventional chemical methods. Generally, such salts can be
prepared by reacting the free acid or base forms of these compounds
with a stoichiometric amount of the appropriate base or acid in
water or in an organic solvent, or in a mixture of the two;
generally, nonaqueous media like ether, ethyl acetate, ethanol,
isopropanol, or acetonitrile are preferred. Lists of suitable salts
are found in Remington's Pharmaceutical Sciences, 17th ed., Mack
Publishing Company, Easton, Pa., p. 1418 (1985), the disclosure of
which is hereby incorporated by reference.
[0096] The term "pharmaceutically acceptable" as used herein refers
to compounds, materials, compositions, and/or dosage forms which
are, within the scope of sound medical judgment, suitable for use
in contact with the tissues of human beings and animals without
excessive toxicity, irritation, allergic response, or other problem
or complication commensurate with a reasonable benefit/risk
ratio.
[0097] The terms "stable compound" and "stable structure" are meant
to indicate a compound that is sufficiently robust to survive
isolation to a useful degree of purity from a reaction mixture, and
formulation into an efficacious therapeutic agent. Stable compounds
are contemplated herein for use in treatment methods described.
[0098] A compound described herein can be formulated in combination
with one or more other agents. The one or more other agents can
include, without limitation, another compound described herein, an
anti-cell proliferative agent (e.g., chemotherapeutic), an
anti-inflammatory agent, and an antigen.
[0099] A compound described herein can be formulated as a
pharmaceutical composition and administered to a mammalian host,
such as a human patient or nonhuman animal, in a variety of forms
adapted to the chosen route of administration. Non-limiting
examples of routes of administration include oral, parenteral,
intravenous, intramuscular, topical, instillation (e.g., bladder
instillation), subcutaneous, intradermal routes. In certain
embodiments, a composition is locally administered, e.g.,
intravesicularly. A composition sometimes includes a diluent and
sometimes an adjuvant, carrier (e.g., assimilable, editable),
buffer, preservative and the like. A compound can be administered
also in a liposomal composition or as a microemulsion, in certain
embodiments. Various sustained release systems for drugs have also
been devised, and can be applied to a compound described herein.
See, for example, U.S. Pat. No. 5,624,677, the methods of which are
incorporated herein by reference.
[0100] For administration to the bladder of a subject, in some
embodiments, a concentration of about 10 nM to about 1000 nM, or
about 100 nM to about 10,000 nM, of a compound described herein may
be delivered. In certain embodiments, a composition described
herein is administered in conjunction with locally applied
ultrasound, electromagnetic radiation or electroporation or other
electrically based drug delivery technique, local chemical
abrasion, or local physical abrasion. In some embodiments, a
composition described herein includes, or is administered with, a
surfactant (e.g., a locally applied) to enhance permeability of a
compound described herein across the bladder mucosa. In certain
embodiments, a composition herein provides enhanced endosomal
uptake, which can result from particle size, receptor
multimerization or sustained release, for example.
[0101] Compounds described herein may be enclosed in hard or soft
shell gelatin capsules, may be compressed into tablets, or may be
incorporated directly with the food of the patient's diet. For oral
therapeutic administration, an active compound may be combined with
one or more excipients and used in the form of ingestible tablets,
buccal tablets, troches, capsules, elixirs, suspensions, syrups,
wafers, and the like. Such compositions and preparations sometimes
contain at least 0.1% of active compound. The percentage of the
compositions and preparations may be varied and sometimes are about
2% to about 60% of the weight of a given unit dosage form. The
amount of active compound in such therapeutically useful
compositions is such that an effective dosage level will be
obtained.
[0102] Tablets, troches, pills, capsules, and the like may also
contain the following: binders such as gum tragacanth, acacia, corn
starch or gelatin; excipients such as dicalcium phosphate; a
disintegrating agent such as corn starch, potato starch, alginic
acid and the like; a lubricant such as magnesium stearate; and a
sweetening agent such as sucrose, fructose, lactose or aspartame or
a flavoring agent such as peppermint, oil of wintergreen, or cherry
flavoring may be added. When the unit dosage form is a capsule, it
may contain, in addition to materials of the above type, a liquid
carrier, such as a vegetable oil or a polyethylene glycol. Various
other materials may be present as coatings or to otherwise modify
the physical form of the solid unit dosage form. For instance,
tablets, pills, or capsules may be coated with gelatin, wax,
shellac or sugar and the like. A syrup or elixir may contain the
active compound, sucrose or fructose as a sweetening agent, methyl
and propylparabens as preservatives, a dye and flavoring such as
cherry or orange flavor. Of course, any material used in preparing
any unit dosage form should be pharmaceutically acceptable and
substantially non-toxic in the amounts employed. In addition, the
active compound may be incorporated into sustained-release
preparations and devices.
[0103] An active compound may be administered by infusion or
injection. Solutions of an active compound or a pharmaceutically
acceptable salt thereof can be prepared in water, optionally mixed
with a nontoxic surfactant. Dispersions can also be prepared in
glycerol, liquid polyethylene glycols, triacetin, and mixtures
thereof and in oils. Under ordinary conditions of storage and use,
these preparations sometimes contain a preservative to prevent the
growth of microorganisms.
[0104] A pharmaceutical dosage form can include a sterile aqueous
solution or dispersion or sterile powder comprising an active
ingredient, which are adapted for the extemporaneous preparation of
sterile solutions or dispersions, and optionally encapsulated in
liposomes. The ultimate dosage form sometimes is a sterile fluid
and stable under the conditions of manufacture and storage. A
liquid carrier or vehicle can be a solvent or liquid dispersion
medium comprising, for example, water, ethanol, a polyol (for
example, glycerol, propylene glycol, liquid polyethylene glycols,
and the like), vegetable oils, nontoxic glyceryl esters, and
suitable mixtures thereof. The proper fluidity can be maintained,
for example, by the formation of liposomes, by the maintenance of
the required particle size in the case of dispersions or by the use
of surfactants. The prevention of the action of microorganisms can
be brought about by various antibacterial and antifungal agents,
for example, parabens, chlorobutanol, phenol, sorbic acid,
thimerosal, and the like. An isotonic agent, for example, a sugar,
buffer or sodium chloride is included in some embodiments.
Prolonged absorption of an injectable composition can be brought
about by the use in the compositions of agents delaying absorption,
for example, aluminum monostearate and gelatin. Sterile solutions
often are prepared by incorporating an active compound in a
required amount in an appropriate solvent, sometimes with one or
more of the other ingredients enumerated above, followed by filter
sterilization. In the case of sterile powders for the preparation
of sterile injectable solutions, preparation methods sometimes
utilized are vacuum drying and the freeze drying techniques, which
yield a powder of an active ingredient in addition to any
additional desired ingredient present in the previously
sterile-filtered solutions.
[0105] For topical administration, a compound herein may be applied
in pure form, e.g., when in liquid form. However, it is generally
desirable to administer a compound as a composition or formulation,
in combination with an acceptable carrier, which may be a solid or
a liquid. Useful solid carriers include finely divided solids such
as talc, clay, microcrystalline cellulose, silica, alumina and the
like. Useful liquid carriers include water, alcohols or glycols or
water-alcohol/glycol blends, or phospholipids in
propylenglycol/ethylenglycol, in which the present compounds can be
dissolved or dispersed at effective levels, optionally with the aid
of non-toxic surfactants. Adjuvants such as fragrances and
additional antimicrobial agents can be added to optimize the
properties for a given use. The resultant liquid compositions can
be applied from absorbent pads, used to impregnate bandages and
other dressings, or sprayed onto the affected area using pump-type
or aerosol sprayers.
[0106] Thickeners such as synthetic polymers, fatty acids, fatty
acid salts and esters, fatty alcohols, modified celluloses or
modified mineral materials can also be employed with liquid
carriers to form spreadable pastes, gels, ointments, soaps, and the
like, for application directly to the skin of the user.
[0107] The ability of a compound herein to act as a TLR agonist or
TLR antagonist may be determined using pharmacological models which
are known, including the procedures disclosed by Lee et al., PNAS,
100:6646 (2003).
[0108] Useful dosages of compounds can be determined by comparing
their in vitro activity, and in vivo activity in animal models.
Methods for the extrapolation of effective dosages in mice, and
other animals, to humans are known to the art. In some embodiments,
the concentration of a compound described herein in a liquid
composition is about 0.1-25 wt-%, and sometimes about 0.5-10 wt-%.
The concentration in a semi-solid or solid composition such as a
gel or a powder sometimes is about 0.1-5 wt-%, and sometimes about
0.5-2.5 wt-%.
[0109] The amount of the compound, or an active salt or derivative
thereof, required for use in treatment varies not only with a
particular salt selected but also with the route of administration,
the nature of the condition being treated and the age and condition
of the patient and will be ultimately at the discretion of the
attendant physician or clinician. In general a suitable dose
sometimes is in the range of from about 0.5 to about 100 mg/kg,
e.g., from about 10 to about 75 mg/kg of body weight per day, such
as 3 to about 50 mg per kilogram body weight of the recipient per
day, and often is in the range of 6 to 90 mg/kg/day, or about 15 to
60 mg/kg/day. A suitable dose, in general, sometimes is in the
range of from about 1 to 150 mg/kg body weight of the recipient per
day, e.g. from about 10 to about 130 mg/kg, from about 40 to about
120 mg/kg, from about 50 to about 100 mg/kg, from about 60 to 90
mg/kg, from about 65 to 85 mg/kg, or, for example, about 80
mg/kg/day. A compound may be conveniently administered in unit
dosage form, and for example, contain 5 to 1000 mg, or 10 to 750
mg, or 50 to 500 mg of active ingredient per unit dosage form. An
active ingredient can be administered to achieve peak plasma
concentrations of an active compound of from about 0.01 to about
100 pM, about 0.5 to about 75 pM, about 1 to 50 pM, or about 2 to
about 30 pM. Such concentrations may be achieved, for example, by
the intravenous injection of a 0.05 to 5% solution of an active
ingredient, optionally in saline, or orally administered as a bolus
containing about 1-100 mg of an active ingredient. Desirable blood
levels may be maintained by continuous infusion to provide about
0.01-5.0 mg/kg/hr or by intermittent infusions containing about
0.4-15 mg/kg of the active ingredient(s). A desired dose may
conveniently be presented in a single dose or as divided doses
administered at appropriate intervals, for example, as two, three,
four or more sub-doses per day. A sub-dose itself may be further
divided, e.g., into a number of discrete loosely spaced
administrations; such as multiple inhalations from an insufflator
or by application of a plurality of drops into the eye.
Treatments
[0110] Compositions provided may be useful for the treatment or
prevention of certain conditions in a subject. Such conditions
include, for example, proliferative conditions such as cancers,
microbial infections, heart conditions and obesity conditions;
inflammation conditions and autoimmune conditions in certain
embodiments.
[0111] The terms "treat" and "treating" as used herein refer to (i)
preventing a pathologic condition from occurring (e.g.
prophylaxis); (ii) inhibiting the pathologic condition or arresting
its development; (iii) relieving the pathologic condition; and/or
(iv) ameliorating, alleviating, lessening, and removing symptoms of
a disease or condition. A candidate molecule or compound described
herein may be in a therapeutically effective amount in a
formulation or medicament, which is an amount that can lead to a
biological effect (e.g., inhibiting inflammation), or lead to
ameliorating, alleviating, lessening, relieving, diminishing or
removing symptoms of a disease or condition, for example. The terms
also can refer to reducing or stopping a cell proliferation rate
(e.g., slowing or halting tumor growth) or reducing the number of
proliferating cancer cells (e.g., removing part or all of a tumor).
A molecule described herein can be administered to a subject in
need thereof to potentially treat a melanoma. In such treatments,
the terms "treating," "treatment" and "therapeutic effect" can
refer to reducing or stopping a cell proliferation rate (e.g.,
slowing or halting tumor growth), reducing the number of
proliferating cancer cells (e.g., ablating part or all of a tumor)
and alleviating, completely or in part, a melanoma condition.
[0112] A drug, which can be a prophylactic or therapeutic agent,
can be administered to any appropriate subject having a melanoma as
described herein. Non-limiting examples of a subject include
mammal, human, ape, monkey, ungulate (e.g., equine, bovine,
caprine, ovine, porcine, buffalo, camel and the like), canine,
feline, rodent (e.g., murine, mouse, rat) and the like. A subject
may be male or female, and a drug can be administered to a subject
in a particular age group, including, for example, juvenile,
pediatric, adolescent, adult and the like.
[0113] The term "therapeutically effective amount" as used herein
refers to an amount of a compound provided herein, or an amount of
a combination of compounds provided herein, to treat or prevent a
disease or disorder, or to treat a symptom of the disease or
disorder, in a subject. As used herein, the terms "subject" and
"patient" generally refers to an individual who will receive or who
has received treatment (e.g., administration of a compound
described herein) according to a method described herein.
[0114] A proliferative condition sometimes is a cancer. Cancers and
related disorders sometimes are of an epithelial cell origin. In
some embodiments, a proliferative condition is associated with
blood, such as leukemia. Non-limiting examples of leukemias and
other blood conditions include acute leukemia, acute lymphocytic
leukemia, acute myelocytic leukemia (e.g., myeloblastic,
promyelocytic, myelomonocytic, monocytic, and erythroleukemia
leukemias) and myelodysplastic syndrome; chronic leukemias, such as
but not limited to, chronic myelocytic (granulocytic) leukemia,
chronic lymphocytic leukemia, hairy cell leukemia; and polycythemia
vera.
[0115] In certain embodiments, a proliferative condition presents
as a lymphoma. Non-limiting examples of lymphomas include Hodgkin's
disease and non-Hodgkin's disease. A proliferative condition
sometimes is a multiple myeloma, non-limiting examples of which
include smoldering multiple myeloma, nonsecretory myeloma,
osteosclerotic myeloma, plasma cell leukemia, solitary plasmacytoma
and extramedullary plasmacytoma. A proliferative condition in some
embodiments presents as Waldenstrom's macroglobulinemia; monoclonal
gammopathy of undetermined significance; benign monoclonal
gammopathy; or heavy chain disease.
[0116] A proliferative condition in some embodiments presents as a
sarcoma (e.g., in bone or connective tissue). Non-limiting examples
of sarcomas include bone sarcoma, osteosarcoma, chondrosarcoma,
Ewing's sarcoma, malignant giant cell tumor, fibrosarcoma of bone,
chordoma, periosteal sarcoma, soft-tissue sarcomas, angiosarcoma
(hemangiosarcoma), fibrosarcoma, Kaposi's sarcoma, leiomyosarcoma,
liposarcoma, lymphangiosarcoma, neurilemmoma, rhabdomyosarcoma,
synovial sarcoma.
[0117] In some embodiments, a proliferative condition presents as a
condition of the brain (e.g., brain tumor). Non-limiting examples
of proliferative conditions of the brain include glioma,
astrocytoma, brain stem glioma, ependymoma, oligodendroglioma,
nonglial tumor, acoustic neurinoma, craniopharyngioma,
medulloblastoma, meningioma, pineocytoma, pineoblastoma, primary
brain lymphoma.
[0118] A proliferative condition in some embodiments is a breast
cancer. Non-limiting breast cancers include ductal carcinoma,
adenocarcinoma, lobular (small cell) carcinoma, intraductal
carcinoma, medullary breast cancer, mucinous breast cancer, tubular
breast cancer, papillary breast cancer, Paget's disease, and
inflammatory breast cancer. In certain embodiments, a proliferative
condition presents as an adrenal cancer. Non-limiting examples of
adrenal cancer include pheochromocytom and adrenocortical
carcinoma. A proliferative condition sometimes presents as a
thyroid cancer, including, but not limited to papillary or
follicular thyroid cancer, medullary thyroid cancer and anaplastic
thyroid cancer.
[0119] In certain embodiments, a proliferative condition presents
as a pancreatic cancer, including, but not limited to, insulinoma,
gastrinoma, glucagonoma, vipoma, somatostatin-secreting tumor, and
carcinoid or islet cell tumor. A proliferative condition in some
embodiments presents as a pituitary cancer, non-limiting examples
of which include Cushing's disease, prolactin-secreting tumor,
acromegaly, and diabetes insipius. In some embodiments, a
proliferative condition presents as an eye cancer, including but
not limited to, ocular melanoma such as iris melanoma, choroidal
melanoma, and cilliary body melanoma, and retinoblastoma.
[0120] A proliferative condition in certain embodiments presents as
a vaginal cancer or vulvar cancer, which can include without
limitation squamous cell carcinoma, adenocarcinoma, melanoma,
squamous cell carcinoma, melanoma, adenocarcinoma, basal cell
carcinoma, sarcoma, and Paget's disease. In some embodiments, a
proliferative condition presents as a cervical cancers, which can
include, but is not limited to, squamous cell carcinoma and
adenocarcinoma. Uterine cancers also are a form of certain
proliferative conditions, including, but not limited to,
endometrial carcinoma and uterine sarcoma. A proliferative
condition sometimes is an ovarian cancer, non-limiting examples of
which include ovarian epithelial carcinoma, borderline tumor, germ
cell tumor, and stromal tumor.
[0121] In some embodiments, a proliferative condition is an
esophageal cancer, non-limiting examples of which include squamous
cancer, adenocarcinoma, adenoid cystic carcinoma, mucoepidermoid
carcinoma, adenosquamous carcinoma, sarcoma, melanoma,
plasmacytoma, verrucous carcinoma, and oat cell (small cell)
carcinoma. A proliferative condition sometimes presents as a
stomach cancer, including, but not limited to, adenocarcinoma,
fungating (polypoid), ulcerating, superficial spreading, diffusely
spreading, malignant lymphoma, liposarcoma, fibrosarcoma, and
carcinosarcoma. A proliferative condition sometimes presents as
colon cancer or a rectal cancers. In some embodiments, a
proliferative condition is a liver cancer, non-limiting examples of
which include hepatocellular carcinoma and hepatoblastoma. A
proliferative condition in certain embodiments presents as a
gallbladder cancer, including, but not limited to, adenocarcinoma.
In certain embodiments, a proliferative condition presents as bile
duct cancer, such as cholangiocarcinomas (e.g., papillary, nodular,
and diffuse) for example.
[0122] A proliferative condition in some embodiments is a lung
cancer. Non-limiting examples of lung cancers include non-small
cell lung cancer, squamous cell carcinoma (epidermoid carcinoma),
adenocarcinoma, large-cell carcinoma and small-cell lung cancer. In
certain embodiments, a proliferative condition presents as a
testicular cancer, such as a germinal tumor, seminoma, anaplastic,
classic (typical), spermatocytic, nonseminoma, embryonal carcinoma,
teratoma carcinoma or choriocarcinoma (yolk-sac tumor). A
proliferative condition in some embodiments is a prostate cancer,
including, but not limited to, prostatic intraepithelial neoplasia,
adenocarcinoma, leiomyosarcoma, and rhabdomyosarcoma. In certain
embodiments, a proliferative condition is a penal cancer.
[0123] A proliferative condition sometimes is an oral cancer,
non-limiting examples of which include squamous cell carcinoma;
basal cancers; salivary gland cancers such as but not limited to
adenocarcinoma, mucoepidermoid carcinoma, and adenoidcystic
carcinoma. In some embodiments, a proliferative condition is a
pharynx cancers, including, but not limited to squamous cell cancer
and verrucous. A proliferative condition sometimes presents as a
skin cancer, non-limiting examples of which include basal cell
carcinoma, squamous cell carcinoma, melanoma, superficial spreading
melanoma, nodular melanoma, lentigo malignant melanoma, and acral
lentiginous melanoma.
[0124] In some embodiments, a proliferative condition is a kidney
cancer such as a renal cell carcinoma, adenocarcinoma,
hypemephroma, fibrosarcoma, transitional cell cancer (renal pelvis
and/or uterer), and Wilms' tumor. In certain embodiments, a
proliferative condition is a bladder cancer, non-limiting examples
of which include superficial bladder cancer, transitional cell
carcinoma, squamous cell cancer, adenocarcinoma and
carcinosarcoma.
[0125] In certain embodiments, a proliferative condition is a
cancer selected from myxosarcoma, osteogenic sarcoma,
endotheliosarcoma, lymphangioendotheliosarcoma, mesothelioma,
synovioma, hemangioblastoma, epithelial carcinoma,
cystadenocarcinoma, bronchogenic carcinoma, sweat gland carcinoma,
sebaceous gland carcinoma, papillary carcinoma and papillary
adenocarcinomas; carcinoma, including that of the bladder, breast,
colon, kidney, liver, lung, ovary, pancreas, stomach, cervix,
thyroid and skin (e.g., squamous cell carcinoma); hematopoietic
tumors of lymphoid lineage, including leukemia, acute lymphocytic
leukemia, acute lymphoblastic leukemia, B-cell lymphoma, T-cell
lymphoma, Burkitt's lymphoma; hematopoictic tumors of myeloid
lineage, including acute and chronic myelogenous leukemias and
promyclocytic leukemia; tumors of the central and peripheral
nervous system, including astrocytoma, neuroblastoma, glioma, and
schwannomas; tumors of mesenchymal origin, including fibrosarcoma,
rhabdomyoscarama, and osteosarcoma; and other tumors, including
melanoma, xeroderma pigmentosum, keratoactanthoma, seminoma,
thyroid follicular cancer and teratocarcinoma. It is also
contemplated that cancers caused by aberrations in apoptosis can be
addressed by compositions described herein. Such cancers may
include but not be limited to follicular lymphomas, carcinomas with
p53 mutations, hormone dependent tumors of the breast, prostate and
ovary, and precancerous lesions such as familial adenomatous
polyposis, and myelodysplastic syndromes. In specific embodiments,
malignancy or dysproliferative changes (such as metaplasias and
dysplasias), or hyperproliferative disorders, may be treated or
prevented in the skin, lung, colon, breast, prostate, bladder,
kidney, pancreas, ovary, or uterus.
[0126] Cell proliferative conditions also include viral diseases,
including for example, acquired immunodeficiency syndrome,
adenoviridae infections, alphavirus Infections, arbovirus
Infections, Borna disease, bunyaviridae Infections, caliciviridae
Infections, chickenpox, Coronaviridae Infections, coxsackievirus
Infections, cytomegalovirus Infections, dengue, DNA Virus
Infections, eethyma, contagious, encephalitis, arbovirus,
Epstein-Barr virus infections, erythema infectiosum, hantavirus
infections, hemorrhagic fevers, viral, hepatitis, viral, human,
herpes simplex, herpes zoster, herpes zoster oticus, herpesviridae
infections, infectious mononucleosis, influenza, e.g., in birds or
humans, Lassa fever, measles, Molluscum contagiosum, mumps,
oaramyxoviridae Infections, phlebotomus fever, polyomavirus
infections, rabies, respiratory syncytial virus Infections, Rift
Valley fever, RNA Virus Infections, rubella, slow virus diseases,
smallpox, subacute sclerosing panencephalitis, tumor virus
infections, warts, West Nile fever, virus diseases and Yellow
Fever. For example, Large T antigen of the SV40 transforming virus
acts on UBF, activates it and recruits other viral proteins to Pol
I complex, and thereby stimulates cell proliferation to ensure
virus propagation. Cell proliferative conditions also include
conditions related to angiogenesis (e.g., cancers) and obesity
caused by proliferation of adipocytes and other fat cells.
[0127] Cell proliferative conditions include microbial infections.
Non-limiting examples of microbes include viruses, bacteria, yeast
and fungus. Examples of certain microbes that may be treated by a
composition described are listed herein.
[0128] Cell proliferative conditions also include cardiac
conditions resulting from cardiac stress, such as hypertension,
balloon angioplasty, valvular disease and myocardial infarction.
For example, cardiomyocytes are differentiated muscle cells in the
heart that constitute the bulk of the ventricle wall, and vascular
smooth muscle cells line blood vessels. Although both are muscle
cell types, cardiomyocytes and vascular smooth muscle cells vary in
their mechanisms of contraction, growth and differentiation.
Cardiomyocytes become terminally differentiated shortly after heart
formation and thus loose the capacity to divide, whereas vascular
smooth muscle cells are continually undergoing modulation from the
contractile to proliferative phenotype. Under various
pathophysiological stresses such as hypertension, balloon
angioplasty, valvular disease and myocardial infarction, for
example, the heart and vessels undergo morphologic growth-related
alterations that can reduce cardiac function and eventually
manifest in heart failure. Thus, provided herein are methods for
treating cardiac cell proliferative conditions by administering a
compound described herein in an effective amount to treat the
cardiac condition. A compound may be administered before or after a
cardiac stress has occurred or has been detected, and the compound
or nucleic acid may be administered after occurrence or detection
of hypertension, balloon angioplasty, valvular disease or
myocardial infarction, for example. Administration of such a
compound may decrease proliferation of vascular muscle cells and/or
smooth muscle cells.
[0129] A cell proliferation condition also may pertain to obesity.
In some embodiments, a cell proliferative condition is abnormal
proliferation of adipocytes.
[0130] A compound described herein can be administered to a subject
in need thereof to induce an immune response in the subject. The
immune response may be generated automatically by the subject
against a foreign antigen (e.g., pathogen infection) in certain
embodiments. In some embodiments, an antigen is co-administered
with a compound described herein, where an immune response is
mounted in the subject against the antigen. An antigen may be
specific for a particular cell proliferative condition (e.g.,
specific cancer antigen) or particular pathogen (e.g., gram
positive bacteria wall antigen; S. aureus antigen), in certain
embodiments. An immunostimulatory composition may be administered
in a vaccine or combination vaccine, in some embodiments. An
immunostimulatory composition may be administered as an adjuvant
composition in certain embodiments, and may be administered in
conjunction with an antigen (e.g., sequential administration or
co-administration with antigen) in certain embodiments.
[0131] A compound described herein can be administered to a subject
in need thereof to potentially prevent, inhibit or treat one or
more inflammation disorders. As used hereinafter, the terms
"treating," "treatment" and "therapeutic effect" can refer to
reducing, inhibiting or stopping (preventing) an inflammation
response (e.g., slowing or halting antibody production or amount of
antibodies to a specific antigen), reducing the amount of inflamed
tissue and alleviating, completely or in part, an inflammation
condition. Inflammation disorders include, without limitation,
allergy, asthma, autoimmune disorder, chronic inflammation, chronic
prostatitis, glomerulonephritis, hypersensitivities, inflammatory
bowel diseases, myopathy (e.g., in combination with systemic
sclerosis, dermatomyositis, polymyositis, and/or inclusion body
myositis), pelvic inflammatory disease, reperfusion injury,
rheumatoid arthritis, transplant rejection, vasculitis, and
leukocyte disorders (e.g., Chediak-Higashi syndrome, chronic
granulomatous disease). Certain autoimmune disorders also are
inflammation disorders (e.g., rheumatoid arthritis). In some
embodiments, the inflammation disorder is selected from the group
consisting of chronic inflammation, chronic prostatitis,
glomerulonephritis, a hypersensitivity, myopathy, pelvic
inflammatory disease, reperfusion injury, transplant rejection,
vasculitis, and leukocyte disorder. In certain embodiments, an
inflammation condition includes, but is not limited to,
bronchiectasis, bronchiolitis, cystic fibrosis, acute lung injury,
acute respiratory distress syndrome (ARDS), atherosclerosis, and
septic shock (e.g., septicemia with multiple organ failure). In
some embodiments, an inflammation disorder is not a condition
selected from the group consisting of allergy, asthma, ARDS and
autoimmune disorder. In certain embodiments, an inflammation
disorder is not a condition selected from the group consisting of
gastrointestinal tract inflammation, brain inflammation, skin
inflammation and joint inflammation. In certain embodiments, the
inflammation disorder is a neutrophil-mediated disorder. In some
embodiments, an inflammatory condition also is a cell proliferation
condition, such as, for example, inflammation conditions of the
skin (e.g., eczema), discoid lupus erythematosus, lichen planus,
lichen sclerosus, mycosis fungoides, photodermatoses, pityriasis
rosea and psoriasis.
[0132] A compound described herein can be administered to a subject
in need thereof to potentially treat one or more autoimmune
disorders. In such treatments, the terms "treating," "treatment"
and "therapeutic effect" can refer to reducing, inhibiting or
stopping an autoimmune response (e.g., slowing or halting antibody
production or amount of antibodies to a specific antigen), reducing
the amount of inflamed tissue and alleviating, completely or in
part, an autoimmune condition. Autoimmune disorders, include,
without limitation, autoimmune encephalomyelitis, colitis,
automimmune insulin dependent diabetes mellitus (IDDM), and Wegener
granulomatosis and Takayasu arteritis. Models for testing compounds
for such diseases include, without limitation, (a)(i) C5BL/6
induced by myelin oligodendrocyte glycoprotein (MOG) peptide, (ii)
SJL mice PLP139-151, or 178-191 EAE, and (iii) adoptive transfer
model of EAE induced by MOG or PLP peptides for autoimmune
encephalomyelitis; (b) non-obese diabetes (NOD) mice for autoimmune
IDDM; (c) dextran sulfate sodium (DSS)-induced colitis model and
trinitrobenzene sulfonic acid (TNBS)-induced colitis model for
colitis; and (d) systemic small vasculitis disorder as a model for
Wegener granulomatosis and Takayasu arteritis. A compound described
herein may be administered to a subject to potentially treat one or
more of the following disorders: Acute disseminated
encephalomyelitis (ADEM); Addison's disease; alopecia greata;
ankylosing spondylitis; antiphospholipid antibody syndrome (APS);
autoimmune hemolytic anemia; autoimmune hepatitis; autoimmune inner
ear disease; bullous pemphigoid; celiac disease; Chagas disease;
chronic obstructive pulmonary disease; Crohns disease (one of two
types of idiopathic inflammatory bowel disease "IBD");
dermatomyositis; diabetes mellitus type 1; endometriosis;
Goodpasture's syndrome; Graves' disease; Guillain-Barre syndrome
(GBS); Hashimoto's disease; hidradenitis suppurativa; idiopathic
thrombocytopenic purpura; interstitial cystitis; lupus
erythematosus; mixed connective tissue disease; morphea; multiple
sclerosis (MS); myasthenia gravis; narcolepsy; neuromyotonia;
pemphigus vulgaris; pernicious anaemia; polymyositis; primary
biliary cirrhosis; rheumatoid arthritis; schizophrenia;
scleroderma; Sjogren's syndrome; temporal arteritis (also known as
"giant cell arteritis"); ulcerative colitis (one of two types of
idiopathic inflammatory bowel disease "IBD"); vasculitis; vitiligo;
and Wegener's granulomatosis. In some embodiments, the autoimmune
disorder is not a condition selected from the group consisting of
Crohns disease (or Crohn's disease), rheumatoid arthritis, lupus
and multiple sclerosis.
[0133] In some embodiments, a compound described herein is utilized
in combination with administration of one or more other therapies
that include, but are not limited to, chemotherapies, radiation
therapies, hormonal therapies, and/or biological therapies (e.g.
immunotherapies). An agent that can be used in combination with a
compound described herein can include, but is not limited to, a
proteinaceous molecule, including, but not limited to, peptide,
polypeptide, protein, including post-translationally modified
protein, antibody and the like; small molecule (less than 1000
daltons); inorganic or organic compounds; nucleic acid molecule,
including, but not limited to, double-stranded or single-stranded
DNA, or double-stranded or single-stranded RNA, and triple helix
nucleic acid molecules. An agent used in combination with a
compound described herein can be derived from any known organism
(including, but not limited to, animals, plants, bacteria, fungi,
and protista, or viruses) or from a library of synthetic molecules.
An agent that may be utilized in combination with a compound
described herein includes a protein kinase inhibitor (e.g., a
receptor protein kinase inhibitor) and an angiogenesis
inhibitor.
Immunostimulatory Compositions
[0134] Compounds described herein may have immunostimulatory
activity, and can enhance the level of an immune response against
an antigen. Accordingly, a compound described herein may be useful
as an adjuvant that can be administered in conjunction with an
antigen. Accordingly, a compound described herein can be
incorporated as part of a vaccine composition that contains an
antigen in some embodiments, and can be administered separately
from an antigen in an adjuvant composition in certain embodiments.
Vaccine compositions and adjuvant compositions are referred to
collectively herein as "immunostimulatory compositions."
[0135] Immunostimulatory Composition Components
[0136] A compound described herein can be utilized in an
immunostimulatory composition in any effective amount. In certain
embodiments, a compound described herein can be used in an amount
of about 1 micrograms to about 100,000 micrograms per dose. A
compound described herein also can be used in an amount of about 1
micrograms to about 50,000 micrograms per dose, about 1 micrograms
to about 25,000 micrograms per dose, about 1 micrograms to about
5,000 micrograms per dose, about 1 micrograms to about 4,000
micrograms per dose, about 1 micrograms to about 3,000 micrograms
per dose, about 1 micrograms to about 2,000 micrograms per dose,
and about 1 micrograms to about 1,000 micrograms per dose. A
compound described herein also may be used in an amount of about 5
micrograms to about 750 micrograms per dose, about 5 micrograms to
about 500 micrograms per dose, about 5 micrograms to about 200
micrograms per dose, about 5 micrograms to about 100 micrograms per
dose, about 15 micrograms to about 100 micrograms per dose, and in
an amount of about 30 micrograms to about 75 micrograms per dose,
in some embodiments.
[0137] In addition to a compound described herein, an
immunostimulatory composition can include one or more other
components. For example, a triterpenoid can be included in an
immunostimulatory composition. Triterpenoids suitable for use in an
immunostimulatory composition can come from many sources (e.g.,
plant derived or synthetic equivalents), including but not limited
to, Quillaja saponaria, tomatine, ginseng extracts, mushrooms, and
an alkaloid glycoside structurally similar to steroidal saponins.
Thus, triterpenoids suitable for use in an immunostimulatory
composition include saponins, squalene, and lanosterol. The amount
of a triterpenoid suitable for use in an immunostimulatory
composition depends upon the nature of the triterpenoid used.
However, they are generally used in an amount of about 1 micrograms
to about 5,000 micrograms per dose. They also can be used in an
amount of about 1 micrograms to about 4,000 micrograms per dose,
about 1 micrograms to about 3,000 micrograms per dose, about 1
micrograms to about 2,000 micrograms per dose, and about 1
micrograms to about 1,000 micrograms per dose. They also may be
used in an amount of about 5 micrograms to about 750 micrograms per
dose, about 5 micrograms to about 500 micrograms per dose, about 5
micrograms to about 200 micrograms per dose, about 5 micrograms to
about 100 micrograms per dose, about 15 micrograms to about 100
micrograms per dose, and in an amount of about 30 micrograms to
about 75 micrograms per dose.
[0138] If a saponin is used, an immunostimulatory composition often
contains an immunologically active saponin fraction from the bark
of Quillaja saponaria. The saponin may be, for example, Quil A or
another purified or partially purified saponin preparation, which
can be obtained commercially. Thus, saponin extracts can be used as
mixtures or purified individual components such as QS-7, QS-17,
QS-18, and QS-21. In some embodiments the Quil A is at least 85%
pure. In other embodiments, the Quil A is at least 90%, 91%, 92%,
93%, 94%, 95%, 96%, 97%, 98%, or 99% pure.
[0139] CpG oligodeoxynucleic acids are characterized by the
presence of an unmethylated CG dinucleotide in specific
base-sequence contexts (CpG motif), and can confer
immunostimulatory properties. These immunostimulatory properties
include induction of a Th1-type response with prominent release of
IFN-, IL-12, and IL-18. CpG ODNs (18-24 bp in length). A carrier
such as QCDC, QCDCR and other combinations can facilitate uptake of
CpG oligodeoxynucleic acids. The amount of CpG for use in an
immunostimulatory composition depends upon the nature of the CpG
used and the intended species. However, they often are used in an
amount of about 1 micrograms to about 20 mg per dose. They also can
be used in an amount of about 1 micrograms to about 10 mg per dose,
about 1 micrograms to about 5 mg per dose, about 1 micrograms to
about 4 mg per dose, about 1 micrograms to about 3 mg per dose,
about 1 micrograms to about 2 mg per dose, and about 1 micrograms
to about 1 mg per dose. They are can be used in an amount of about
5 micrograms to about 750 micrograms per dose, about 5 micrograms
to about 500 micrograms per dose, about 5 micrograms to about 200
micrograms per dose, about 5 micrograms to about 100 micrograms per
dose, 10 micrograms to about 100 micrograms per dose, about 15
micrograms to about 100 micrograms per dose, and in an amount of
about 30 micrograms to about 75 micrograms per dose.
[0140] Sterols also can be used in an immunostimulatory
composition, and sterols suitable for use include beta-sitosterol,
stigmasterol, ergosterol, ergocalciferol, and cholesterol. These
sterols are known in the art and can be purchased commercially. The
amount of sterols suitable for use in an immunostimulatory
composition depends upon the nature of the sterol used. However,
they are often used in an amount of about 1 micrograms to about
5,000 micrograms per dose. They also can be used in an amount of
about 1 micrograms to about 4,000 micrograms per dose, about 1
micrograms to about 3,000 micrograms per dose, about 1 micrograms
to about 2,000 micrograms per dose, and about 1 micrograms to about
1,000 micrograms per dose. They also can be used in an amount of
about 5 micrograms to about 750 micrograms per dose, about 5
micrograms to about 500 micrograms per dose, about 5 micrograms to
about 200 micrograms per dose, about 5 micrograms to about 100
micrograms per dose, about 15 micrograms to about 100 micrograms
per dose, and about 30 micrograms to about 75 micrograms per
dose.
[0141] An immunostimulatory composition can further include one or
more immunomodulatory agents, non-limiting examples of which
include quaternary ammonium compounds (e.g., DDA), and
interleukins, interferons, or other cytokines. These materials can
be purchased commercially. The amount of an immunomodulator
suitable for use in an immunostimulatory composition depends upon
the nature of the immunomodulator used and the subject. However,
they often are used in an amount of about 1 micrograms to about
5,000 micrograms per dose. They also can be used in an amount of
about 1 micrograms to about 4,000 micrograms per dose, about 1
micrograms to about 3,000 micrograms per dose, about 1 micrograms
to about 2,000 micrograms per dose, and about 1 micrograms to about
1,000 micrograms per dose. They also can be used in an amount of
about 5 micrograms to about 750 micrograms per dose, about 5
micrograms to about 500 micrograms per dose, about 5 micrograms to
about 200 micrograms per dose, about 5 micrograms to about 100
micrograms per dose, about 15 micrograms to about 100 micrograms
per dose, and in an amount of about 30 micrograms to about 75
micrograms per dose. In a specific example, an immunostimulatory
composition containing DDA can be prepared by simply mixing an
antigen solution with a freshly prepared solution of DDA.
[0142] An immunostimulatory composition can further include one or
more polymers, non-limiting examples of which include DEAE Dextran,
polyethylene glycol, and polyacrylic acid and polymethacrylic acid
(eg, CARBOPOL.RTM.). The amount of polymer suitable for use in an
immunostimulatory composition depends upon the nature of the
polymers used. However, they often are used in an amount of about
0.0001% volume to volume (v/v) to about 75% v/v. In some
embodiments, they are used in an amount of about 0.001% v/v to
about 50% v/v, of about 0.005% v/v to about 25% v/v, of about 0.01%
v/v to about 10% v/v, of about 0.05% v/v to about 2% v/v, and of
about 0.1% v/v to about 0.75% v/v. In certain embodiments, they are
used in an amount of about 0.02 v/v to about 0.4% v/v. DEAE-dextran
can have a molecular size in the range of 50,000 Da to 5,000,000
Da, or it can be in the range of 500,000 Da to 2,000,000 Da. Such
material may be purchased commercially or prepared from
dextran.
[0143] In some embodiments, a polymer utilized is polyacrylic acid
(e.g., the CARBOPOL.RTM. polymers), which has an average equivalent
weight of 76. Polyacrylic acids often are produced from primary
polymer particles of about 0.2 to 6.0 microns in average diameter.
The CARBOPOL.RTM. polymers swell in water up to 1000 times their
original volume and ten times their original diameter to form a gel
when exposed to a pH environment greater than the pKa of the
carboxylate group. At a pH greater than the pKa of carboxylate
group, the carboxylate groups ionize resulting in repulsion between
the negative charges, which adds to the swelling of the
polymer.
[0144] An immunostimulatory composition can further include one or
more Th2 stimulants such as, for example, Bay R1005.RTM. and
aluminum. The amount of Th2 stimulants suitable for use in an
immunostimulatory composition depends upon the nature of the Th2
stimulant used. However, a Th2 stimulant often is used in an amount
of about 0.01 mg to about 10 mg per dose. In some embodiments, such
stimulants are used in an amount of about 0.05 mg to about 7.5 mg
per dose, of about 0.1 mg to about 5 mg per dose, of about 0.5 mg
to about 2.5 mg per dose, and of 1 mg to about 2 mg per dose. A
specific example is Bay R1005.RTM., a glycolipid with the chemical
name
"N-(2-deoxy-2-L-leucylamino-.beta.-D-glucopyranosyl)-N-octadecyldodecanam-
-ide acetate." It can be synthesized according to the procedure
known in the art. It often is stored at 2-8 degrees Celsius in an
airtight container. Its chemical or physical properties are that it
is slightly hygroscopic, does not form polymorphs, is chemically
stable in air and light at temperatures up to 50 degrees Celsius
and in aqueous solvents at pH 2-12 at ambient temperature. It is an
amphiphilic molecule which forms micelles in aqueous solution.
[0145] Antigens
[0146] An immunostimulatory composition can contain one or more
antigens. The antigen can be any of a wide variety of substances
capable of producing a desired immune response in a subject.
Although Quil A alone is virucidal, Quil A is detoxified with the
addition of cholesterol when forming helical micelles. An
immunostimulatory composition can be non-viricidal, and
non-hemolytic or membranolytic. Thus, an antigens used with a
immunostimulatory composition can be one or more of viruses
(inactivated, attenuated, and modified live), bacteria, parasites,
nucleotides, polynucleotides, peptides, polypeptides, recombinant
proteins, synthetic peptides, protein extract, cells (including
tumor cells), tissues, polysaccharides, carbohydrates, fatty acids,
teichioc acid, peptidoglycans, lipids, or glycolipids, individually
or in any combination thereof. An antigen also can include
immunogenic fragments of nucleotides, polynucleotides, peptides,
polypeptides, that can be isolated from the organisms referred to
herein. An antigen in some embodiments is a cancer-specific
molecule, such as a protein, peptide, lipid, nucleic acid,
carbohydrate and the like.
[0147] Live, modified-live, and attenuated viral strains that do
not cause disease in a subject can be isolated in non-virulent form
or can be attenuated using methods known in the art, including
serial passage in a suitable cell line or exposure to ultraviolet
light or a chemical mutagen. Inactivated or killed viral strains
are those that have been inactivated by methods known in the art,
including treatment with formalin, betapropriolactone (BPL), binary
ethyleneimine (BEI), sterilizing radiation, heat, and the like.
[0148] Two or more antigens can be combined to produce a polyvalent
composition that can protect a subject against a wide variety of
diseases caused by pathogens. Antigens can be combined in a single
composition comprising a compound described herein, in some
embodiments. In certain embodiments, a composition comprising
multiple antigens is administered in conjunction with a separate
adjuvant composition comprising a compound described herein (e.g.,
concurrently or sequentially).
[0149] An immunostimulatory composition can include a microbe as an
antigen (e.g., inactivated or attenuated bacteria, virus) or
microbe component. Non-limiting examples of bacteria that can be
selected include Aceinetobacter calcoaceticus, Acetobacter
paseruianus, Actinobacillus pleuropneumoniae, Aeromonas hydrophila,
Alicyclobacillus acidocaldarius, Arhaeglobus fulgidus, Bacillus
anthracis, Bacillus pumilus, Bacillus stearothermophillus, Bacillus
subtilis, Bacillus thermocatenulatus, Bordetella bronchiseptica,
Burkholderia cepacia, Burkholderia glumae, Campylobacter coli,
Campylobacter fetus, Campylobacter jejuni, Campylobacter
hyointestinalis, Chlamydia psittaci, Chlamydia trachomatis,
Chlamydophila spp., Chromobacterium viscosum, Erysipelothrix
rhusiopathieae, Listeria monocytogenes, Ehrlichia canis,
Escherichia coli, Haemophilus influenzae, Haemophilus somnus,
Helicobacter suis, Lawsonia intracellularis, Legionella
pneumophilia, Moraxellsa sp., Mycobactrium bovis, Mycoplasma
hyopneumoniae, Mycoplasma mycoides subsp. mycoides LC, Clostridium
perfringens, Odoribacter denticanis, Pasteurella (Mannheimia)
haemolytica, Pasteurella multocida, Photorhabdus luminescens,
Porphyromonas gu/ae, Porphyromonas gingivalis, Porphyromonas
salivosa, Propionibacterium acnes, Proteus vulgaris, Pseudomonas
wisconsinensis, Pseudomonas aeruginosa, Pseudomonas fluorescens C9,
Pseudomonas fluorescens SIKW1, Pseudomonas fragi, Pseudomonas
luteola, Pseudomonas oleovorans, Pseudomonas sp B11-1, Alcaliges
eutrophus, Psychrobacter immobilis, Rickettsia prowazekii,
Rickettsia rickettsia, Salmonella typhimurium, Salmonella bongori,
Salmonella enterica, Salmonella dublin, Salmonella typhimurium,
Salmonella choleraseuis, Salmonella newport, Serratia marcescens,
Spirlina platensis, Staphlyoccocus aureus, Staphyloccoccus
epidermidis, Staphylococcus hyicus, Streptomyces albus,
Streptomyces cinnamoneus, Streptococcus suis, Streptomyces
exfoliates, Streptomyces scabies, Sulfolobus acidocaldarius,
Syechocystis sp., Vibrio cholerae, Borrelia burgdorferi, Treponema
denticola, Treponema minutum, Treponema phagedenis, Treponema
refringens, Treponema vincentii, Treponema palladium, and
Leptospira species, such as the known pathogens Leptospira
canicola, Leptospira grippotyposa, Leptospira hardjo, Leptospira
borgpetersenii hardjo-bovis, Leptospira borgpetersenii
hardjo-prajitno, Leptospira interrogans, Leptospira
icterohaemorrhagiae, Leptospira pomona, and Leptospira bratislava,
and combinations thereof.
[0150] An inactivated virus, attenuated live virus, and/or portion
of a virus may be used in an immunostimulatory composition. Some
examples of viruses which can be used for antigen production
include, but are not limited to, Avian herpesviruses, Bovine
herpesviruses, Canine herpesviruses, Equine herpesviruses, Feline
viral rhinotracheitis virus, Marek's disease virus, Ovine
herpesviruses, Porcine herpesviruses, Pseudorabies virus, Avian
paramyxoviruses, Bovine respiratory syncytial virus, Canine
distemper virus, Canine parainfluenza virus, canine adenovirus,
canine parvovirus, Bovine Parainfluenza virus 3, Ovine
parainfluenza 3, Rinderpest virus, Border disease virus, Bovine
viral diarrhea virus (BVDV), BVDV Type I, BVDV Type II, Classical
swine fever virus, Avian Leukosis virus, Bovine immunodeficiency
virus, Bovine leukemia virus, Bovine tuberculosis, Equine
infectious anemia virus, Feline immunodeficiency virus, Feline
leukemia virus (FeLV), Newcastle Disease virus, Ovine progressive
pneumonia virus, Ovine pulmonary adenocarcinoma virus, Canine
coronavirus (CCV), pantropic CCV, Canine respiratory coronavirus,
Bovine coronavirus, Feline Calicivirus, Feline enteric coronavirus,
Feline infectious peritonitis, virus, Porcine epidemic diarrhea
virus, Porcine hemagglutinating encephalomyletitis virus, Porcine
parvovirus, Porcine Circovirus (PCV) Type I, PCV Type II, Porcine
Reproductive and Respiratory Syndrome (PRRS) Virus, Transmissible
gastroenteritis virus, Turkey coronavirus, Bovine ephemeral fever
virus, Rabies, Rotovirus, Vesicular stomatitis virus, lentivirus,
Avian influenza, Rhinoviruses, Equine influenza virus, Swine
influenza virus, Canine influenza virus, Feline influenza virus,
Human influenza virus, Eastern Equine encephalitis virus (EEE),
Venezuelan equine encephalitis virus, West Nile virus, Western
equine encephalitis virus, human immunodeficiency virus, human
papilloma virus, varicella zoster virus, hepatitis B virus,
rhinovirus, and measles virus, and combinations thereof.
[0151] Non-limiting examples of peptide antigens include Bordetella
bronchiseptica p68, GnRH, IgE peptides, Fel d1, and cancer
antigens, and combinations thereof. Examples of other antigens
include nucleotides, carbohydrates, lipids, glycolipids, peptides,
fatty acids, and teichioc acid, and peptidoglycans, and
combinations thereof.
[0152] Non-limiting examples of parasites that can be used for
preparation of antigens with an immunostimulatory composition
include Anaplasma, Fasciola hepatica (liver fluke), Coccidia,
Eimeria spp., Neospora caninum, Toxoplasma gondii, Giardia,
Dirofilaria (heartworms), Ancylostoma (hookworms), Trypanosoma
spp., Leishmania spp., Trichomonas spp., Cryptosporidium parvum,
Babesia, Schistosoma, Taenia, Strongyloides, Ascaris, Trichinella,
Sarcocystis, Hammondia, and Isopsora, and combinations thereof.
Also contemplated are external parasites including, but not limited
to, ticks, including Ixodes, Rhipicephalus, Dermacentor, Amblyomma,
Boophilus, Hyalomma, and Haemaphysalis species, and combinations
thereof.
[0153] The amount of antigen used to induce an immune response can
vary considerably depending on the antigen used, the subject, and
the level of response desired, and can be determined as known in
the art. For vaccines containing modified live viruses or
attenuated viruses, a therapeutically effective amount of the
antigen sometimes ranges from about 10.sup.2 Tissue Culture
Infective Dose (TCID).sub.50 to about 10.sup.10 TCID.sub.50,
inclusive. For many such viruses, a therapeutically effective dose
is sometimes in the range of about 10.sup.2 TCID.sub.50 to about
10.sup.8 TCID.sub.50, inclusive. In some embodiments, the ranges of
therapeutically effective doses are about 10.sup.3 TCID.sub.50 to
about 10.sup.6 TCID.sub.50, inclusive. In certain embodiments, the
ranges of therapeutically effective doses are about 10.sup.4
TCID.sub.50 to about 10.sup.5 TCID.sub.50, inclusive.
[0154] For vaccines containing inactivated viruses, a
therapeutically effective amount of the antigen sometimes is at
least about 100 relative units per dose, and often in the range
from about 1,000 to about 4,500 relative units per dose, inclusive.
In some embodiments, a therapeutically effective amount of the
antigen is in a range from about 250 to about 4,000 relative units
per dose, inclusive, from about 500 to about 3,000 relative units
per dose, inclusive, from about 750 to about 2,000 relative units
per dose, inclusive, or from about 1,000 to about 1,500 relative
units per dose, inclusive.
[0155] A therapeutically effective amount of antigen in vaccines
containing inactivated viruses also can be measured in terms of
Relative Potency (RP) per mL. A therapeutically effective amount
often is in the range from about 0.1 to about 50 RP per mL,
inclusive. In some embodiments, a therapeutically effective amount
of the antigen is in a range from about 0.5 to about 30 RP per mL,
inclusive, from about 1 to about 25 RP per mL, inclusive, from
about 2 to about 20 RP per mL, inclusive, from about 3 to about 15
RP per mL, inclusive, or from about 5 to about 10 RP per mL,
inclusive.
[0156] The number of cells for certain bacterial antigens
administered in a vaccine ranges from about 1.times.10.sup.6 to
about 5.times.10.sup.10 colony forming units (CFU) per dose,
inclusive, in certain embodiments. In some embodiments, the number
of cells ranges from about 1.times.10.sup.7 to 5.times.10.sup.10
CFU/dose, inclusive, or from about 1.times.10.sup.8 to
5.times.10.sup.10 CFU/dose, inclusive. In various embodiments, the
number of cells ranges from about 1.times.10.sup.2 to
5.times.10.sup.10 CFU/dose, inclusive, or from about
1.times.10.sup.4 to 5.times.10.sup.9 CFU/dose, inclusive, or from
about 1.times.10.sup.5 to 5.times.10.sup.9 CFU/dose, inclusive, or
from about 1.times.10.sup.6 to 5.times.10.sup.9 CFU/dose,
inclusive, or from about 1.times.10.sup.6 to 5.times.10.sup.8
CFU/dose, inclusive, or from about 1.times.10.sup.7 to
5.times.10.sup.9 CFU/dose, inclusive.
[0157] The number of cells for certain parasite antigens
administered in a vaccine ranges from about 1.times.10.sup.2 to
about 1.times.10.sup.10 per dose, inclusive, in certain
embodiments. In some embodiments, the number of cells ranges from
about 1.times.10.sup.3 to about 1.times.10.sup.9 per dose,
inclusive, or from about 1.times.10.sup.4 to about 1.times.10.sup.8
per dose, inclusive, or from about 1.times.10.sup.5 to about
1.times.10.sup.7 per dose, inclusive, or from about
1.times.10.sup.6 to about 1.times.10.sup.8 per dose, inclusive.
[0158] Excipients
[0159] Aqueous immunostimulatory compositions can provide certain
advantages. They are readily formulated and administered, and can
induce few or less serious injection site reactions. However,
aqueous immunostimulatory compositions with an antigen tend to
diffuse from the injection site, are cleared by the subject's
liver, and generate an undesirable non-specific immune
response.
[0160] Oil, when added as a component of an adjuvant, generally
provides a long and slow release profile. Oils that can be utilized
are metabolizable oils or non-metabolizable oils. An oil can be in
the form of an oil-in-water, a water-in-oil, or a
water-in-oil-in-water emulsion. An oil-in-water emulsion can be
provided in some embodiments, and can be composed of an
AMPHIGEN.RTM. formulation. This formulation comprises an aqueous
component, lecithin, mineral oil, and surfactants. Patents
describing the components of the formulation include U.S. Pat. No.
5,084,269 and U.S. Pat. No. 6,572,861. An oil component can be
present in an amount from 1% to 50% by volume, or in an amount of
10% to 45%; or in an amount from 20% to 40% in some
embodiments.
[0161] Suitable oils can include alkanes, alkenes, alkynes, and
their corresponding acids and alcohols, the ethers and esters
thereof, and mixtures thereof. Individual compounds of the oil
often are light hydrocarbon compounds, i.e., such components often
have 6 to 30 carbon atoms. The oil can be synthetically prepared or
purified from petroleum products. The moiety may have a straight or
branched chain structure. It may be fully saturated or have one or
more double or triple bonds. Some non-metabolizable oils for use in
the present invention include mineral oil, paraffin oil, and
cycloparaffins, for example. A "light mineral oil" can be selected
for use in an immunostimulatory composition. One type of oil
utilized is obtained by distillation of petrolatum, and has a
slightly lower specific gravity than white mineral oil.
[0162] Metabolizable oils include metabolizable, non-toxic oils.
This type of oil can be any vegetable oil, fish oil, animal oil or
synthetically prepared oil that can be metabolized by the body of
the subject to which an immunostimulatory composition is
administered and is not toxic to the subject. Sources for vegetable
oils include nuts, seeds and grains.
[0163] Other components of an immunostimulatory composition can
include pharmaceutically acceptable excipients, such as carriers,
solvents, and diluents, isotonic agents, buffering agents,
stabilizers, preservatives, vaso-constrictive agents, antibacterial
agents, antifungal agents, and the like. Non-limiting examples of
carriers, solvents, and diluents include water, saline, dextrose,
ethanol, glycerol, oil, and the like. Examples of isotonic agents
include sodium chloride, dextrose, mannitol, sorbitol, lactose, and
the like. Useful stabilizers include gelatin, albumin, and the
like.
[0164] A surfactant can be used to assist in stabilization of an
emulsion and can be selected to act as a carrier for an adjuvant
and/or antigen. Surfactants suitable for use include natural
biologically compatible surfactants and non-natural synthetic
surfactants, in some embodiments. Biologically compatible
surfactants include phospholipid compounds or a mixture of
phospholipids. An example of a phospholipid is phosphatidylcholine
(lecithin), such as soy or egg lecithin. Lecithin can be obtained
as a mixture of phosphatides and triglycerides by water-washing
crude vegetable oils, and separating and drying the resulting
hydrated gums. A refined product can be obtained by fractionating
the mixture for acetone insoluble phospholipids and glycolipids
remaining after removal of the triglycerides and vegetable oil by
acetone washing. Alternatively, lecithin can be obtained from
various commercial sources. Other suitable phospholipids include
phosphatidylglycerol, phosphatidylinositol, phosphatidylserine,
phosphatidic acid, cardiolipin, and phosphatidylethanolamine. The
phospholipids may be isolated from natural sources or
conventionally synthesized.
[0165] Non-natural, synthetic surfactants that can be used include,
without limitation, sorbitan-based non-ionic surfactants, e.g.
fatty-acid-substituted sorbitan surfactants (commercially available
under the name SPAN.RTM. or ARLACEL.RTM.); fatty acid esters of
polyethoxylated sorbitol (TWEEN.RTM.); polyethylene glycol esters
of fatty acids from sources such as castor oil (EMULFOR.RTM.);
polyethoxylated fatty acid (e.g., stearic acid available under the
name SIMULSOL M-53.RTM.); polyethoxylated
isooctylphenol/formaldehyde polymer (TYLOXAPOL.RTM.);
polyoxyethylene fatty alcohol ethers (BRIJ.RTM.); polyoxyethylene
nonphenyl ethers (TRITON.RTM. N), polyoxyethylene isooctylphenyl
ethers (TRITON.RTM. X). In some embodiments, a surfactant, or
combination of surfactants, is present in an emulsion in an amount
of 0.01% to 10% by volume, sometimes 0.1% to 6.0%, and at times
0.2% to 5.0%.
[0166] A pharmaceutically-acceptable carrier includes any and all
solvents, dispersion media, coatings, stabilizing agents, diluents,
preservatives, antibacterial and antifungal agents, isotonic
agents, adsorption delaying agents, and the like. Carrier(s)
generally are compatible with other components of an
immunostimulatory composition and not deleterious to a subject when
administered. A carrier often is sterile and pyrogen-free, and
selected based on the mode of administration used, and a carrier
utilized often is approved, or will be approved, by an appropriate
government agency that oversees development and use of
pharmaceuticals. An immunostimulatory composition can include, in
certain embodiments, a compatible pharmaceutically acceptable
(i.e., sterile or non-toxic) liquid, semisolid, or solid diluent
that serves as a pharmaceutical vehicle, excipient, or medium. A
diluent can include water, saline, dextrose, ethanol, glycerol, and
the like, for example. An isotonic agent can include sodium
chloride, dextrose, mannitol, sorbitol, and lactose, among others.
A stabilizer can include albumin, among others. An
immunostimulatory composition can include, in some embodiments, an
antibiotic or preservative, including, for example, gentamicin,
merthiolate, or chlorocresol.
[0167] Preparation of Immunostimulatory Compositions
[0168] A compound described herein can be used in the manufacture
of an immunostimulatory composition. Each dose can contain a
therapeutically effective amount of an antigen or antigens (e.g.,
vaccine) that can vary depending on the age and general condition
of the subject, the route of administration, the nature of the
antigen, and other factors. The amounts and concentrations of other
components in the immunostimulatory composition may be adjusted to
modify the physical and chemical properties of the composition, and
can be determined. An immunostimulatory composition can be
homogenized or microfluidized as described hereafter.
[0169] An immunostimulatory composition can be prepared as an
immune stimulating complex (ISCOM). An ISCOM can be prepared by
combining a saponin, a sterol, and a phospholipid. For example, an
ISCOM can contain 5% to 10% by weight Quil A, 1% to 5% cholesterol
and phospholipids, and the remainder protein. The ratio of saponin
to sterol in the adjuvant formulations sometimes is in the order of
from 1:100 weight to weight (w/w) to 5:1 w/w. In some embodiments,
excess sterol is present and the ratio of saponin to sterol can be
at least 1:2 w/w, or 1:5 w/w. In certain embodiments, saponin is in
excess in relation to the sterol, and a ratio of saponin to sterol
of about 5:1 w/w is used. ISCOM and ISCOMATRIX are commercially
available (e.g., Isconova AB (Sweden)).
[0170] In some embodiments, CARBOPOL.RTM. is used in combination
with DDA in an amount of at least 0.1 part by weight of
CARBOPOL.RTM. per part by weight of DDA. In certain embodiments, at
least 0.5 part by weight of CARBOPOL.RTM. per part by weight of DDA
is used. In various embodiments, at least 1 part by weight of
CARBOPOL.RTM. per part by weight of DDA is used. The combination of
CARBOPOL.RTM. and DDA often forms a complex whereby the DDA
tertiary amine functional group immunofunctionalizes the carboxylic
acid side groups on the polymer. This complex allows for specific
immune cells to target an antigen and adjuvant simultaneously and
co-deliver the antigen and adjuvant together at the optimal time
and concentration to the said cells.
[0171] In some embodiments, a compound described herein is not
formulated with a specific carrier, and sometimes is formulated in
an aqueous or other pharmaceutically acceptable buffer for
preparation of an immunostimulatory composition. In some
embodiments, an immunostimulatory composition is presented in a
suitable vehicle, such as for example, additional liposomes,
microspheres or encapsulated antigen particles. An antigen, if
present in an immunostimulatory composition, can be contained
within the vesicle membrane or contained outside the vesicle
membrane. Soluble antigens often are inside and hydrophobic or
lipidated antigens often are contained within the membrane.
[0172] An immunostimulatory composition can be made in various
forms depending upon the route of administration, storage
requirements, and the like. For example, they can be made in the
form of sterile aqueous solutions or dispersions suitable for
injectable use, or made in lyophilized forms using freeze-drying,
vacuum-drying, or spray-drying techniques. Lyophilized compositions
can be reconstituted prior to use in a stabilizing solution, e.g.,
saline or HEPES. Thus, an immunostimulatory composition can be used
as a solid, semi-solid, or liquid dosage form.
[0173] Phosphate buffered saline (PBS) may be used as an aqueous
buffer medium, where the pH of the buffer may be neutral or
slightly alkaline or slightly acidic. Accordingly, the pH can be in
a range of pH 6 to 8, and a pH of about 7.0 to about 7.3 can be
used in certain embodiments. The pH can be adjusted using a base
(e.g., NaOH) or base (e.g., HCl) as needed. Typical concentrations
include from 1N to 10N HCl and 1N to 10N NaOH, for example. The
strength of the buffer can be between 10 to 50 mM P0.sub.4 and
between 10 to 150 mM P0.sub.4 in some embodiments. In certain
embodiments, a composition forms particles, for example
nanoparticles, of about 10 nanometers to about 1000 nanometers, and
sometimes, a composition forms particles with a mean, average or
nominal size of about 100 nanometers to about 400 nanometers.
[0174] An immunostimulatory composition can be homogenized or
microfluidized, in some embodiments. An immunostimulatory
composition may be subjected to a primary blending process, such as
by passage one or more times through one or more homogenizers, in
certain embodiments. Any commercially available homogenizer can be
used for this purpose, e.g., Ross emulsifier (Hauppauge, N.Y.),
Gaulin homogenizer (Everett, Mass.), or Microfluidics (Newton,
Mass.). In some embodiments, an immunostimulatory composition
homogenized for three minutes at 10,000 rpm. Microfluidization can
be achieved by use of a commercial microfluidizer, such as model
number 11OY available from Microfluidics, (Newton, Mass.); Gaulin
Model 30CD (Gaulin, Inc., Everett, Mass.); and Rainnie Minilab Type
8.30H (Miro Atomizer Food and Dairy, Inc., Hudson, Wis.). These
microfluidizers operate by forcing fluids through small apertures
under high pressure, such that two fluid streams interact at high
velocities in an interaction chamber to form compositions with
droplets of a submicron size. In certain embodiments, the
formulations are microfluidized by passage through a 200 micron
limiting dimension chamber at 10,000.+/-0.500 psi.
[0175] Administration of Immunostimulatory Compositions
[0176] Dose size of an immunostimulatory composition can range from
about 1 mL to about 5 mL, inclusive, depending on the subject and
the antigen. For example, for a canine or feline, a dose of about 1
mL is typically used, while in cattle a dose of about 2-5 mL is
typically used. However, an immunostimulatory composition can be
formulated in a microdose, where doses of about 100 microliters can
be used.
[0177] Non-limiting routes of administration for an
immunostimulatory composition include parenteral, oral, oronasal,
intranasal, intratracheal, topical, injection and intradermal. Any
suitable device may be used to administer the compositions,
including syringes, droppers, needleless injection devices,
patches, pump, particles (e.g., gold microparticles),
electrotransduction, electroporation and the like. The route and
device selected for use will depend on the composition of the
adjuvant, the antigen, and the subject, as known in the art. In
some embodiments, an immunostimulatory composition is administered
by intravesical instillation.
[0178] An immune response can be monitored after an
immunostimulatory composition is administered to a subject. Methods
for assessing an immune response are known in the art, and include
methods provided herein such as, for example, assaying antibody
titer, either specific or non-specific, and measuring serum
cytokine levels In some embodiments, an antigen-specific immune
response (e.g., antigen-specific antibodies, antigen-specific
cytotoxic T-cells (CTLs)) is assessed after an immunostimulatory
composition is delivered. In some embodiments, an IgG1 and/or IgG2
(e.g., IgG2a) antibody response is induced. An immune response can
be assessed after an immunostimulatory composition is delivered. In
some embodiments, a composition described herein induces little to
no side effects (e.g., splenomegaly) when administered to a
subject.
EXAMPLES
[0179] The examples set forth below illustrate certain embodiments
and do not limit the technology.
Example 1
Synthesis of
4-((6-amino-2-(2-methoxyethoxy)-8-oxo-7H-purin-9(8H)-yl)methyl)benzoic
acid (compound 7)
[0180] This Example details methods by which Compound A and SC12
can be prepared, and includes the following methods and data:
[0181] a method for preparation of
4-((6-amino-2-(2-methoxyethoxy)-8-oxo-7H-purin-9(8H)-yl)methyl)benzoic
acid (compound 7) and its conjugation with
1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE) [0182]
conditions for preparation of compound 7 and scale-up of the
preparation on multi-gram scale [0183] a method of conjugation of
compound 7 with 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine
(DOPE) to obtain compound A [0184] a method for preparation of
compound A on multi-gram scale [0185] analytical methods for
intermediates and for the conjugated compound [0186] stability
study of compound A [0187] a method for preparation of compound 8,
also known as SC12, a conjugated derivative of 7 with
1,2-dilauroyl-sn-glycero-3-phosphoethanolamine (DLPE)) [0188]
stability study of SC12
[0189] The following schemes present an example of methods that may
be used to prepare Compound A and SC12. Other synthetic methods may
be used to prepare Compound A and SC12, examples of these other
synthetic methods are provided in FIGS. 20-23.
##STR00010## ##STR00011##
A. Preparation of
4-((6-amino-2-(2-methoxyethoxy)-8-oxo-7H-purin-9(8H)-yl)methyl)benzoic
acid 7
##STR00012##
[0191] 2,6-dichloropurine (100 g, 0.53 mol) is charged in a four
necked round bottomed flask, 3 L, equipped with mechanical stirrer,
oil bath, thermometer, dropping funnel, reflux condenser and
nitrogen inlet. N,N-dimethylacetamide (1 L) is added, followed by
solid bromomethyl-benzonitrile (114.6 g, 0.58 mol, 1.1 eqv.) and
potassium carbonate (109.7 g, 0.79 mol, 1.5 eqv.). The mixture is
vigorously stirred and heated at 85-90.degree. C. for 3 hrs, then
it is allowed to cool to room temperature and added with water (2
L). A yellow abundant solid immediately is formed; the mixture is
stirred for 30 min, then it is filtered in a Buchner funnel, washed
with water (2.times.200 mL) and ethyl acetate and dried at
65.degree. C. in vacuum until constant weight is observed (about 5
hs). Intermediate 2, batch CH730/2/1 is obtained as a pale yellow
solid, with the following sample amount and purity: 160 g; 99% Y;
90.2% HPLC purity. NMR and MS analysis conforms to the
structure.
[0192] The reaction is scaled up and repeated starting from 600 g
of 2,6-dichloropurine. Intermediate 2 batch CH730/3/1 is obtained,
with the following sample amount and purity: 950 g; 98.3% Y; 92%
HPLC purity.
##STR00013##
[0193] Intermediate 2 (100 g, 0.33 mol) is charged in a four necked
round bottomed flask, 3 L, equipped with mechanical stirrer, oil
bath, thermometer, dropping funnel, reflux condenser and nitrogen
inlet. Dry dimethylformamide (700 mL) is added, followed by ammonia
solution 7 N in methanol (100 mL, 0.66 mol, 2 eqv.). The mixture is
vigorously stirred at room temperature. After 2 hours a brown
solution is obtained, then an abundant solid precipitated. The
mixture is further stirred for 12 hours, then the solid is filtered
on a Buchner funnel and washed with ethyl acetate (200 mL). The
product is dried at 65.degree. C. in vacuum until constant weight
is observed (about 6 hs). Intermediate 3 batch CH730/3/2 is
obtained as a whitish solid. with the following sample amount and
purity: 66 g; 71% Y; 92.9% HPLC purity, NMR and MS analysis
conforms to the structure.
[0194] The reaction is scaled up and repeated on 900 g of
intermediate 2. Intermediate 3 batch CH730/6/2 is obtained, with
the following sample amount and purity: 680 g; 77% Y; 91% HPLC
purity.
##STR00014##
[0195] A four necked round bottomed flask, 1 L, equipped with
mechanical stirrer, oil bath, thermometer, dropping funnel, reflux
condenser and nitrogen inlet is charged with 2-methoxy ethanol (500
mL). Sodium (6 g, 0.26 mol, 1.5 eqv) is added in small pieces at
room temperature and under Argon atmosphere. Intermediate 3 (50 g,
0.175 mol) is added in one portion. The reaction mixture is stirred
and heated to 100.degree. C. for 6 hours, then it is allowed to
cool to room temperature. Water (1 L) is added and the mixture is
stirred at room temperature for 30 min. The solid is filtered on a
Buchner funnel, washed with water (200 mL) and dried in vacuum at
65.degree. C. until constant weight (about 8 hours). Intermediate
4, batch CH730/2/3 is obtained as a whitish solid with the
following sample amount and purity: 40 g; 70% Y; 95% % HPLC purity.
NMR and MS analysis conform to the structure.
[0196] The reaction is scaled up and repeated on 550 g of compound
3. Intermediate 4 batch CH730/6/3 is obtained with the following
sample amount and purity: 532 g; 78% Y. 94% HPLC purity.
##STR00015##
[0197] Intermediate 4 (100 g, 0.3 mol) is charged into a four
necked round bottomed flask, 2 L, equipped with mechanical stirrer,
oil bath, thermometer, dropping funnel, reflux condenser and
nitrogen inlet Dichloromethane (1.5 L) is added and the mixture is
vigorously stirred at room temperature. Bromine (19 mL, 0.37 mol,
1.2 eqv.) is added drop wise at room temperature. After stirring
for 8 hs, the solid is filtered and washed with dichloromethane
(300 mL) to give crude compound 5 as a yellow solid. It is
crystallized with acetone (500 mL) to give intermediate 5 as a pale
yellow solid with the following sample amount and purity: Batch
CH730/3/4; 109 g; 88% Y. 82% HPLC purity.
[0198] The reaction is repeated on 150 g of compound 4;
intermediate 5, batch CH730/4/4 is obtained; with the following
sample amount and purity: 170 g; 92% Y; 81% HPLC purity. A third
preparation is made; intermediate 5, batch CH730/11/4 is obtained;
with the following sample amount and purity: 80 g; 91% HPLC
purity.
##STR00016##
[0199] A four necked round bottomed flask, 3 L, equipped with
mechanical stirrer, oil bath, thermometer, dropping funnel, reflux
condenser and nitrogen inlet is charged with methanol (700 mL).
Sodium (11.9 g, 0.52 mol, 3 eqv.) is added in small pieces.
Intermediate 5 (70 g, 0.17 mol) is added to the solution in one
portion. The suspension is vigorously stirred at reflux until a
clear solution is obtained (about 6 hours). The mixture is allowed
to cool to room temperature, then water is added (500 mL) followed
by sodium hydroxide (34 g, 0.85 mol). The mixture is again heated
to reflux for 8 hours, then it is cooled to room temperature.
Concentrated hydrochloric acid is added (120 mL); a white solid
precipitates from the reaction mixture. After stirring for 1 hr,
the solid is filtered on a Buchner funnel. After drying in vacuum
at 65.degree. C. (about 8 hs), crude compound 6 (50 g) is obtained.
It is suspended in acetonitrile (500 mL) and added with Sodium
Iodide (Aldrich, 34 g, 0.23 mol). After the drop wise addition of
chlorotrimethylsilane (Aldrich, 29 mL, 0.23 mol), the mixture is
vigorously stirred and heated to 50.degree. C. for 3 hours. After
cooling to room temperature, a saturated solution of sodium
hydrogen carbonate is added, to obtain pH 6 into the reaction
mixture. The solid precipitated is filtered on a Buchner funnel and
washed first with water (100 mL), then with methanol (50 mL). Crude
compound 7 is obtained as a pale yellow solid; batch CH730/18/6b,
with the following sample amount and purity: 40 g, HPLC purity
89%
[0200] It is crystallized twice with glacial acetic acid (600 mL
each time). After drying in vacuum at 65.degree. C. for 8 hours,
compound 7 batch CH730/18/6c is obtained; with the following sample
amount and purity: 34 g; 55% Y from 5; 93.6% HPLC purity.
[0201] The reaction is repeated on 70 g of intermediate 5; compound
7, batch CH730/16/6b is obtained; with the following sample amount
and purity: 38 g; 61% Y; 92% HPLC purity. The reaction is repeated
again on 30 g of compound 5; compound 7, batch CH730/21/6d is
obtained; with the following sample amount and purity: 18 g; 62% Y;
92.2% HPLC purity.
[0202] Acid 7 is not soluble in most of the common solvents
(methanol, ethanol, dichloromethane, ethyl acetate, acetonitrile,
acetone, chloroform). Many attempts are made aimed to crystallize
acid 7; dimethylformamide, dimethylformamide/water, DMSO/water,
methanol, acetone are tested, but in all cases the product after
crystallization has the same purity as before crystallization.
Glacial acetic acid may be effective in enhancing the purity of 7.
The purity is increased after the first crystallization, but it
remains unchanged when the treatment is repeated. The target value
(98% HPLC) has not been achieved.
Preparation of Compound A
##STR00017##
[0204] Many attempts are made aimed to prepare compound A with good
yield and purity. First, the direct coupling of acid 7 with DOPE is
attempted (method A and method B). Then acid 7 is activated before
coupling with DOPE (method C and method D). While reasonable
results are obtained both with method A and method D, difficulties
may arise during the work up of the reaction mixture and during the
purification phase.
[0205] Method A: acid 7 (2.6 g, 7.2 mmol) is suspended in dry
dimethylformamide (10 mL) under Argon atmosphere. HATU
(O-7-azabenzotriazol-1-yl)-N,N,N,N-tetramethyluronium
hexafluorophosphate; 2.94 g, 7.6 mmol, 1.05 eqv.) is added in one
portion, followed by triethylamine (2 mL, 14.4 mmol, 2 eqv). The
mixture is stirred at room temperature for 15 min, then a solution
of DOPE (1,2-dioleoyl-sn-glycero-3-phosphoethanolamine, 5.37 g, 7.2
mmol, 1 eqv.) in dry dichloromethane (150 mL) is added drop wise.
The resulting solution is stirred for 12 hours, until complete
conversion of the reagents. The HPLC analysis shows that compound A
is about 85% in the crude reaction mixture. Dichloromethane is
evaporated under reduced pressure and the residue is added drop
wise to water (150 mL). A solid separates from the reaction
mixture. The attempt of filtration under vacuum may fail because
the product is not crystalline and the filter is blocked.
[0206] At this point dichloromethane (150 mL) is added and the
phases are left to separate. A milky suspension forms and the
separation of the two phases is not possible. In the event of
failure of the filtration and of the extraction procedures, the
solvents are completely removed by distillation under vacuum and
the residue is purified by flash chromatography, eluting with
dichloromethane/methanol/acetic acid 8/2/0.1. Compound A is
obtained as a white amorphous solid with an example of HPLC purity
of 94.6% (0.5 g).
[0207] The reaction is repeated starting from 15 g of acid 7. The
outcome of the reaction is similar to the previous run. The crude
is purified by chromatography, but the target product is obtained
with low yield (7.2 g; 16% Y). When the silica gel used for the
purification is washed with methanol/acetic acid 7/3, the residual
product is recovered. Its purification is attempted again by
chromatography. The purification by chromatography is effective on
1-2 grams scale; increasing the amount of compound A charged on the
column, a great amount of product is retained by silica gel and the
recovery is low. The amount of methanol and acetic acid has to be
increased and at this point the product is recovered
quantitatively, together with its impurities.
[0208] A crystallization technique also is attempted to purify
compound A. Diethyl ether, hexane, acetone, acetone/water and other
solvents are tested. Methanol is effective in lowering some
impurities, but after prolonged heating in methanol a new impurity
is detected (up to 20%).
[0209] At this point, the reaction conditions are studied to
minimize impurities in the reaction crude. Lowering the temperature
results in a better profile and compound A is obtained with 88%
HPLC purity in the reaction mixture.
[0210] Method B: the reaction of acid 7 with DOPE is attempted
using dicyclohexylcarbodiimide (DCC) and
1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDCI) as coupling
agents. In both cases no reaction occurs and the starting material
is recovered unchanged.
[0211] Method C: the activation of acid 7 is attempted with
1-hydroxypyrrolidine in dichloromethane as solvent. Due to the
insolubility of 7 in dichloromethane, the reaction fails.
[0212] Method D: acid 7 (10 g, 0.028 mol) is dissolved in a mixture
of acetonitrile (60 mL) and dimethylsulfoxide (DMSO) (60 mL) at
room temperature and under Argon atmosphere. Carbonyl diimidazole
(4.55 g, 0.028 mol, 1 eqv.) is added and the resulting solution is
stirred for 1 hr. A solution of DOPE (NOF Corp. >99%; 20.8 g,
0.028 mol, 1 eqv.) in dry dichloromethane is added drop wise. The
reaction mixture is stirred for 16 hours, until complete conversion
of the reagents. Acetonitrile is removed by distillation in vacuum;
water (200 mL) is added to the residue; a white solid separated,
but the filtration is not possible. The mixture is centrifuged for
30 min; the solvent is discarded and compound A batch CH730/16/8 is
obtained as a solid, 25 g. It is rapidly passed through silica gel,
eluting with dichloromethane/isopropanol/acetic acid 7/2/1
(CH730/16/8c, with the following sample amount and purity: 21 g;
89.6% HPLC purity) then it is treated with methanol at room
temperature for 30 min and filtered on a Buchner funnel. Compound A
is obtained as a solid 19 g, HPLC purity 94.5%. The reaction is
repeated on 20 g of acid 7 with similar results.
[0213] Comparing methods A and D, similar results are obtained as
far as yield and purity of crude compound A, but the impurity
profile is different. It is determined the purification of the
sample obtained with method A on multi-grams scale is not feasible.
The coupling reaction between acid 7 and DOPE is repeated several
times and the isolation of compound A with purity >90% is not
readily accomplished.
Synthetic Processes
[0214] FIG. 20 shows examples of other synthetic process
embodiments that can be utilized for manufacturing certain
compounds having a structure of Formula A or Formula B. FIG. 20
specifically shows synthetic processes for manufacturing Compound A
and SC12. These process embodiments include an intermediate having
a structure of Formula A or Formula B except for the hydroxyl
moiety attached to the fused ring portion (8-hydroxyl) is a
--O--(C1-C6 alkyl) moiety. This --O--(C1-C6 alkyl) moiety then is
converted to the hydroxyl moiety shown in Formula A or Formula B.
The --O--(C1-C6 alkyl) moiety sometimes is a --OCH.sub.3 moiety
(i.e., --OMe moiety) as shown specifically in intermediate 9 of
FIG. 20. The --O--(C1-C6 alkyl) moiety can be converted to the
hydroxyl moiety by a process known in the art, such as a TMSCl/NaI
hydrolysis procedure (e.g., Carey, Advanced Organic Chemistry IV
Ed.--Part B: Reaction and Synthesis page 163) and/or a methyl enol
ether hydrolysis (e.g., Bioorganic & Medicinal Chemistry 12
(2004) 1091-1099).
[0215] FIGS. 21 and 22 show further examples of synthetic process
embodiments that can be utilized for manufacturing certain
compounds having a structure of Formula A or Formula B. FIG. 21 and
FIG. 22 specifically show synthetic processes for manufacturing
Compound A and SC12. These process embodiments includes an
intermediate having a structure of intermediate 7 in Scheme 1 shown
previously except that the primary amine moiety in intermediate 7
of Scheme 1 is a secondary amine having the structure --NH-(prot),
where the prot moiety is a protecting group (e.g., intermediate 13
in FIG. 21 and intermediate 17 in FIG. 22). These process
embodiments also include an intermediate having a structure of
Formula A or Formula B except that the primary amine moiety in
Formula A or Formula B is a secondary amine having the structure
--NH-(prot) (e.g., intermediate 14 in FIG. 21 and intermediate 18
in FIG. 22). Any suitable protecting group known in the art can be
utilized, and the protecting group sometimes is a
tert-butoxycarbonyl (Boc) protecting group as shown by way of
example in FIG. 21 (e.g., intermediates 13 and 14 in FIG. 21) or a
benzyl protecting group as shown by way of example in FIG. 22
(e.g., intermediates 17 and 18 in FIG. 22). Certain protecting
groups are suitable for producing compounds in which Rd and Re are
saturated alkyl moieties (e.g., Boc and benzyl) and certain
protection groups are suitable for producing compounds in which Rd
and Re are alkyl moieties that include one or more unsaturations
(e.g., Boc).
[0216] FIG. 23 shows examples of other synthetic process
embodiments that can be utilized for manufacturing certain
compounds having a structure of Formula A or Formula B. FIG. 23
specifically shows a synthetic process for manufacturing SC12. This
process embodiment includes an intermediate having a structure of
intermediate 7 in Scheme 1 shown previously except that the primary
amine moiety in intermediate 7 is a secondary amine having the
structure --NH-(prot), where the prot moiety is a protecting group
(e.g., intermediate 17 in FIG. 23). This process embodiment also
includes an intermediate having a structure of Formula A or Formula
B except that the primary amine moiety in Formula A or Formula B is
a secondary amine having the structure --NH-(prot) (e.g.,
intermediate 18 in FIG. 23). This process embodiment further
includes an intermediate having a structure of intermediate 6 in
Scheme 1 shown previously except that the primary amine moiety in
intermediate 6 is a secondary amine having the structure
--NH-(prot) (e.g., intermediate 21 in FIG. 23). Any suitable
protecting group known in the art can be utilized, and the
protecting group sometimes is a benzyl protecting group as shown by
way of example in FIG. 23.
[0217] In FIGS. 20-23, the number designations for the various
compounds in the synthetic scheme may not correspond with the
numbers used in other figures, or the numbers used in this Example
1.
Sample Preparation for H PLC:
[0218] Intermediate no 5: in a 10 ml class A volumetric flask about
10 mg, accurately weighted, of sample were dissolved in methanol
with some drops of dimethyl sulfoxide (final concentration about 1
mg/ml). Intermediate no 7: in a 10 ml class A volumetric flask
about 5 mg, accurately weighted, of sample were dissolved in
methanol with some drops of dimethyl sulfoxide (final concentration
about 0.5 mg/ml).
Fragmentation of Compound A (Top Compound Shown Below)
##STR00018##
[0219] X-Ray Diffraction (XRD)
[0220] It was determined the sample of compound A was
amorphous.
Dry Weight and Chemical Composition (CHN)
[0221] The experimental values were in accordance with the
structure of compound A.
Optical Rotation
[0222] Sample preparation: 20 mg of compound A was dissolved in
chloroform and analysed. [.alpha.]D=-37.08 (deviation on the
analysis: 43%). It was determined the high value of the deviation
was likely due to the opalescent behavior of the solution.
[0223] The analysis was repeated dissolving 5 mg of compound A in
chloroform. It was found [.alpha.]D=-8.7 (deviation on the
analysis: 16%).
Solubility
[0224] The method reported in the European Pharmacopoeia 6.0 was
used.
[0225] Compound A was not soluble in water.
[0226] Compound A was not soluble in acetonitrile.
[0227] Compound A was soluble in chloroform (100 mg/mL).
[0228] Compound A was soluble in DMSO.
[0229] The solubility of Compound A in DMSO was determined using
three different batches of product: [0230] CH730/16/8c (HPLC purity
59%) [0231] CH730/16/8g (HPLC purity 71.5%) [0232] CH730/23/8e
(HPLC purity 95.6%)
[0233] Batch CH730/16/8g was tested according to the method
described in E.Ph: DMSO was added in 0.1 mL portions to 103.7 mg of
product and the suspension was shaken with a Vortex instrument for
3 min after each addition. It was found that the solubility of
compound A batch Ch730/16/8g in DMSO was 259 mg/mL. The batches
CH730/16/8c, CH730/16/8g and CH730/23/8e were then tested stirring
each suspension for a longer time; 100 mg of each batch dissolved
completely in 0.2 mL of DMSO after stirring for 30 minutes.
According to this method, the solubility of compound A in DMSO was
500 mg/mL.
Stability of Compound A
[0234] Some samples of compound A were retested by HPLC and it was
found that their purity diminished in few days. The results are
reported in Table A below:
TABLE-US-00001 TABLE A Sample: Test date: May 20, 2009 Retest date:
Jun. 12, 2009 Retest date: Jun. 17, 2009 CH730/16/8c Purity: 89.6%
Purity: 67.2% Purity: 58.9% Report HPLC n. #0045 Report HPLC n.
#0065 Report HPLC n. #0102 Sample: Test date: Jun. 11, 2009 Retest
date: Jun. 18, 2009 CH730/16/8g Purity: 81.4% Purity: 71.5% Report
HPLC n. #0062 Report HPLC n. #0103 Sample: Test date: Jun. 10, 2009
Retest date: Jun. 16, 2009 CH730/22/8 Purity: 57.5% Purity: 44.8%
Report HPLC n. #0060 HPLC report n. #0093
[0235] The samples which underwent degradation had been stored in a
crystallization vessel at room temperature under natural light. Two
main impurities at RRT 1.1 and RRT 1.2 were always present. As a
consequence, it was determined that compound A was not a stable
compound at room temperature and/or in the presence of light. At
this point, a stability study was conducted on batch CH730/16/8g.
The following conditions of storage were tested: [0236] solid at
room temperature (about 25.degree. C.) and in presence of light
[0237] solid at external temperature (28-35.degree. C.) under the
sun-light [0238] solid at +4.degree. C. [0239] solution in
chloroform at room temperature and in presence of light [0240]
solution in chloroform at +4.degree. C. [0241] solution in
chloroform at external temperature (28-35.degree. C.) under the
sun-light
[0242] The results obtained are reported in Table B hereafter.
TABLE-US-00002 TABLE B Stability of CH730/16/8G Conditions Samples
of storage t = 0 t = 1 day t = 2 days t = 5 days t = 6 days t = 7
days t = 11 days CH730/16/8G Solution in RRT = 1: RRT = 1: / RRT =
1: / RRT = 1: RRT = 1: CHCl.sub.3, RT 81.4% 80.9% 79.3% 80.5% 82.0%
and light RRT = 1.11: RRT = 1.11: RRT = 1.10: RRT = 1.11: RRT =
1.16: 8.6% 8.7% 9.9% 8.7% 6.9% RRT = 1.23: RRT = 1.24: RRT = 1.24:
RRT = 1.27: RRT = 1.29: 4.2% 4.4% 4.2% 3.9% 3.7% (Report n.sup.o
(Report n.sup.o (Report n.sup.o (Report n.sup.o (Report n.sup.o
#62) #70) #96) #107) #111) Solution in RRT = 1: / / / / /
CHCl.sub.3, 80.3% external T RRT = 1.11: and light 8.0% RRT = 1.27:
3.2% (Report n.sup.o #108) Solution in RRT = 1: / / / / /
CHCl.sub.3, T 80.7% about 30.degree. C. RRT = 1.11: without light
8.6% RRT = 1.27: 3.8% (Report n.sup.o #109) Solid, / RRT = 1: / RRT
= 1: / / external T 37.6% 35.4% and light RRT = 1.06: RRT = 1.06:
9.2% 17.8% RRT = 1.11: RRT = 1.14: 27.9% 7.2% RRT = 1.26: RRT =
1.17: 14.8% 12.6% (Report n.sup.o RRT = 1.28: #106) 5.5% (Report
n.sup.o #112) The solid samples were almost completely degraded
after few days. Compound A appeared more stable in solution.
Because the sample of compound A batch CH730/16/8g had a low purity
at t = 0, the stability study was repeated on a freshly prepared
sample, batch CH730/23/8e. The results obtained are reported in
Table C hereafter.
TABLE-US-00003 TABLE C Stability of CH730/23/8E Conditions Sample
of storage t = 0 t = 2 days t = 5 days t = 7 days t = 20 days
CH730/23/8E Solution in RRT = 1: RRT = 1: RRT = 1: RRT = 1: RRT =
1: CHCl.sub.3, room 95.6% 95.5% 95.4% 95.5% 94.4% temperature RRT =
1.24: RRT = 1.24: RRT = 1.23: RRT = 1.23: RRT = 1.19: and light
0.9% 0.9% 1.0% 1.1% 1.2% RRT = 1.28: RRT = 1.28: RRT = 1.29: RRT =
1.28: RRT = 1.26: 1.3% 1.3% 1.2% 1.2% 1.5% (Report n.sup.o (Report
n.sup.o (Report n.sup.o (Report n.sup.o (Report n.sup.o 91) 92) 98)
104) 113) Solution in RRT = 1: RRT = 1: RRT = 1: RRT = 1:
CHCl.sub.3, +4.degree. C. 95.3% 95.3% 95.2% 93.9% RRT = 1.24: RRT =
1.23: RRT = 1.23: RRT = 1.18: 1.0% 1.1% 1.1% 1.4% RRT = 1.27: RRT =
1.28: RRT = 1.28: RRT = 1.25: 1.4% 1.3% 1.3% 1.4% (Report n.sup.o
(Report n.sup.o (Report n.sup.o (Report n.sup.o 93) 99) 105) 116)
Solution in RRT = 1: RRT = 1: RRT = 1: RRT = 1: CHCl.sub.3, 94.2%
90.2% 89.0% 55.6% external RRT = 1.27: RRT = 1.13: RRT = 1.14: RRT
= 1.08: temperature 1.2% 2.7% 2.5% 6.8% and light (Report n.sup.o
RRT = 1.27: RRT = 1.28: RRT = 1.16: 94) 1.2% 1.1% 1.6% (Report
n.sup.o (Report n.sup.o (Report n.sup.o 100) 106) 117) Solid, room
RRT = 1: RRT = 1: RRT = 1: RRT = 1: temperature 94.6% 91.7% 91.8%
68.5% and light RRT = 1.24: RRT = 1.22: RRT = 1.21: RRT = 1.08:
1.3% 1.7% 2.3% 14.5% RRT = 1.27: RRT = 1.27: RRT = 1.28: RRT =
1.18: 2.1% 3.8% 3.8% 3.9% (Report n.sup.o (Report n.sup.o (Report
n.sup.o RRT = 1.24: 95) 101) 107) 6.7% (Report n.sup.o 118) Solid,
+4.degree. C. RRT = 1: RRT = 1: RRT = 1: RRT = 1: 95.6% 94.7% 94.9%
90.4% RRT = 1.24: RRT = 1.23: RRT = 1.22: RRT = 1.18: 0.8% 1.2%
1.4% 3.1% RRT = 1.27: RRT = 1.28: RRT = 1.28: RRT = 1.25: 1.3% 1.6%
1.5% 3.4% (Report n.sup.o (Report n.sup.o (Report n.sup.o (Report
n.sup.o 96) 102) 108) 119) Solid, RRT = 1: RRT = 1: RRT = 1: RRT =
1: external 94.1% 92.0% 92.0% 43.8% temperature RRT = 1.27: RRT =
1.27: RRT = 1.27: RRT = 1.09: and light 3.6% 4.9% 5.7% 27.2%
(Report n.sup.o (Report n.sup.o (Report n.sup.o RRT = 1.18: 97)
103) 109) 9.0% RRT = 1.23: 12.1% (Report n.sup.o 120)
[0243] HPLC analysis confirmed that compound A undergoes a rapid
degradation at T>25.degree. C. and in the presence of light. It
was demonstrated that the compound was more stable in solution.
[0244] HPLC-MS analysis on a stressed sample of compound A.
[0245] The sample of compound A batch CH730/16/8 g, stored for six
days at external temperature (28-35.degree. C.; HPLC purity 35.4%;
report n. #0112) under sun light, was analyzed by HPLC-MS and
compared with freshly prepared batch CH730/23/8e. The aim of this
study was to demonstrate that the impurities detected by HPLC
during the stability study were not an analytical artifact, but
they were really formed by the action of heat and light.
HPLC Method
TABLE-US-00004 [0246] Instrument Agilent 1100 Column C18 XTERRA 2.1
.times. 150 mm, 3.5 m T (.degree. C.) 50.degree. C. lambda nm) 220
and 280 Flow (ml/min) 0.15 Analysis time (min) 40 Mobile phase A:
methanol:isopropanol:water 50:20:30 + 0.1% formic acid B:
methanol:isopropanol 50:50 + 0.1% formic acid Elution Gradient
Gradient T (min) % A % B 0 100 0 5 100 0 30 0 100 40 0 100
Retention time (min) Compound A about 33
Sample Preparation
[0247] Solution a: the sample was dissolved in
dimethylsulfoxide-isopropanol 20:80 in order to have a
concentration of 2 mg/ml
[0248] Solution b: "solution a" was diluted 1:5 with
methanol:isopropanol:water 50:20:30+0.1% formic acid
Example 2
Synthesis of SC12
[0249] Described hereafter is preparation of
(2-(4-((6-amino-2-(2-methoxyethoxy)-8-oxo-7H-purin-9(8H)-yl)methyl)benzam-
ido)ethyl 2,3-bis(oleoyloxy)propyl phosphate).
[0250] The HPLC-MS analysis carried out on compound A batch
CH730/16/8g demonstrated that the main impurity formed by the
degradation of the compound was the oxidated derivative. Acid 7
(compound 7) was conjugated with
1,2-dilauroyl-sn-glycero-3-phosphoethanolamine (DLPE) and its
stability was studied. The product is referred to as Compound 8 and
SC12. Compounds SC8 and SC18 were synthesized in a similar manner,
except that compound 7 was conjugated with
1,2-dioctanoyl-sn-glycero-3-phosphoethanolamine or
1,2-distrearoyl-sn-glycero-3-phosphoethanolamine, respectively,
instead of with DLPE.
A. Preparation of SC12 (Compound 8)
##STR00019##
[0252] In this example of a method of preparing SC12, Acid 7
(compound 7) (batch CH730/18/6d; 1 g, 0.0028 mol) is dissolved in a
mixture of acetonitrile (6 mL) and DMSO (6 mL) at room temperature
and under Argon atmosphere. Carbonyl diimidazole (455 mg, 0.0028
mol, 1 eqv.) is added and the resulting solution is stirred for 1
hr. A solution of DLPE (>99%; 1.78 g, 0.0028 mol, 1 eqv.) in dry
dichloromethane was added drop wise. The reaction mixture is
stirred for 16 hrs, till complete conversion of the reagents.
Acetonitrile is removed by distillation in vacuum; water (200 mL)
is added to the residue; a white solid separated. The solid is
filtered on a Buchner funnel and washed with methanol (5 mL). After
drying in vacuum at 35.degree. C., SC12 is obtained as a white
solid; 1.8 g, Y 65%, HPLC purity 90.3%, HPLC report n. 0121.
B. Analytical Characterization of SC12
[0253] The structure of SC12 was confirmed by 1H-NMR, 13C-NMR and
MS.
C. Stability of SC12
[0254] A stability study was performed on SC12 and the following
conditions were tested: [0255] solution in chloroform at room
temperature (about 25.degree. C.) and in presence of light. [0256]
solid at room temperature and in presence of light. [0257] solid at
external temperature (28-35.degree. C.) under the sun light.
[0258] The samples were analyzed at t=0 and after 20 days.
[0259] The results are reported in Table 1 below, and the main
impurities formed with their RRT are listed.
TABLE-US-00005 TABLE 1 Conditions Samples of storage t = 0 t = 20
days CH730/2/13 Solution in CHCl.sub.3, RT RRT = 1: 90.3% RRT = 1:
88.0% and light RRT = 0.46: 5.7% RRT = 0.88: 6.2% RRT = 1.21: 0.9%
RRT = 1.21: 5.0% (Report n.sup.o 0121) (Report n.sup.o 0139) Solid,
external T and RRT = 1: 84.0% light RRT = 0.88: 6.6% RRT = 1.21:
7.1% (Report n.sup.o 0141) Solid, RT and light RRT = 1: 87.8% RRT =
0.88: 6.2% RRT = 1.21: 4.8% (Report n.sup.o 0141)
[0260] The data obtained show that SC12 was more stable than
compound A. Furthermore, Table 2 shows the comparison between the
stability of compound A and SC12 with respect to heat. Solid
samples of each compound were maintained at 80.degree. C. and
analyzed by HPLC.
TABLE-US-00006 TABLE 2 After 2 hrs After 22 hrs Sample t = 0 at
80.degree. C. at 80.degree. C. compound A 95% HPLC 73% HPLC / SC12
90% HPLC 90% HPLC 88% HPLC
Example 3
Potency of Compounds
[0261] The potency of five samples with TLR7 agonist activity in a
PBMC model and in the mouse macrophage cell line Raw264.7 was
determined by measuring the dose-dependent stimulation of the
pro-inflammatory cytokines IL-6 and TNF-alpha.
Methods and Experimental Setup
[0262] The study was setup in two models as outlined below: [0263]
Model 1: Five TLR7 agonists were tested in the mouse macrophage
cell line model Raw264.7. Endpoints were measurement of IL-6 and
TNF-alpha. [0264] Model 2: Five TLR7 agonists were tested for
potency in a PBMC model. End-points were measurement of secreted
IL-6 and TNF-alpha.
Model 1
[0265] The potency of 5 TLR agonists was assessed in comparison
with a positive control (Imiquimod) in a Raw264.7 cell line. EC50
values were determined for control and each drug candidate for IL-6
and TNF-alpha secretion.
[0266] Method: Raw264.7 cells were grown according to conditions
from the supplier using RPMI media and 10% FCS. The cells were
plated in 96 well plates and treated with TLR7 agonists for 24
hours in 7 doses. The conditioned media was removed after 24 hours
for ELISA analyses. The cells were subsequently assayed for
viability using the XTT assay according to the guidelines from the
supplier.
Experimental Setup:
[0267] 1. Untreated cells [0268] 2. Imiquimod [0269] 3. TLR7
agonist 1 [0270] 4. TLR7 agonist 2 [0271] 5. TLR7 agonist 3 [0272]
6. TLR7 agonist 4 [0273] 7. TLR7 agonist 5
[0274] Compounds were tested in 7 doses
(0.003-0.01.03-0.1-0.5-2.0-10.0 micromolar). The experiment was
performed in quadruplicate wells for each testing series, and the
supernatant pooled and measured by ELISA in triplicates.
Model 2
[0275] The potency of the 5 TLR agonists was assessed based on the
ability to stimulate IL-6 and TNF-alpha secretion, and potency was
compared with a positive control (Imiquimod) in a PBMC model. EC50
values were determined for control and each drug candidate for IL-6
and TNF-alpha secretion.
[0276] Method: PBMCs were purified from three donors and plated
into 96 well plates at 2.times.10.sup.5 cells/well in RPMI media
including human 2% heat inactivated AB serum, glutamine, Pen-strep
and beta-mercaptoethanol. The cells were treated with TLR7 agonists
for 24 hours in 7 doses. The conditioned media was removed for
ELISA analyses for IL-6 and TNF-alpha, and cell survival determined
by the XTT method according to the protocol from the supplier.
[0277] Experimental Setup: [0278] 1. Untreated cells [0279] 2.
Imiquimod [0280] 3. TLR7 agonist 1 [0281] 4. TLR7 agonist 2 [0282]
5. TLR7 agonist 3 [0283] 6. TLR7 agonist 4 [0284] 7. TLR7 agonist
5
[0285] Compounds were tested in 7 doses
(0.003-0.01.03-0.1-0.5-2.0-10.0 micromolar).
Data Handling:
[0286] Concentrations of IL-6 and TNF-alpha were determined by
ELISA from R&D Systems using the Microsoft Excel Software. The
results were analyzed in Graph Pad Prism in order to prepare
dose-response curves, and for determination of EC50 values.
Statistical Analyses:
[0287] Due to the number of donors, statistical evaluation between
individual EC50 values was not relevant.
Results and Discussion:
[0288] In Model 1, IL-6 and TNF-alpha secretions were induced
dose-dependently by all compounds, but not by DMSO by itself (FIGS.
1-2). The compounds reached different levels of maximum cytokine
levels, and also showed different EC50 values. The order of potency
was as follows, with the most potent first: compound A
<SC12<SC18<SC8=free pharmacophore<Imiquimod (Table 3).
Free pharmacophore ("free ph") has the structure:
##STR00020##
[0289] The XTT assay (FIG. 3, where the Y-axis=relative survival,
the x-axis=concentration for treatment) showed that the cells were
slightly affected by the higher concentrations of compounds, which
for some compounds was reflected in a decreased cytokine production
at the highest concentrations (in particular for compound A, SC12
and SC18; FIGS. 1 and 2). Since the maximum plateau of the
dose-response curves was determined based on the cytokine levels
induced by the highest concentrations, this plateau could be
slightly increased if the highest concentration of the compounds
was not considered. However, the doses in the dynamic range would
not be affected by this, which means that the EC50 values would be
minimally affected.
TABLE-US-00007 TABLE 3 EC50 values determined in the Raw264.7 cell
line on the basis of the 7 doses tested of each compound. Raw Free
Compound 264.7 Imiquimod ph A SC 12 SC18 SC8 EC 50 IL 2.005 0.531
0.006 0.042 0.310 0.669 6 mM EC 50 2.156 0.707 0.009 0.041 0.499
0.603 TNF-alpha
[0290] In conclusion for Model 1, Compound A was the most potent
TLR7 agonist, followed by SC12, SC18, SC8 together with free
pharmacophore and finally Imiquimod. In this respect, all 5
compounds were more potent than Imiquimod in this model.
[0291] For Model 2, PBMCs were derived from buffy coats from
healthy anonymous adult human donors. Both IL-6 and TNF-alpha
secretions were induced dose-dependently by most compounds in the
three donors. A few compounds like Imiquimod, SC8 and the free
pharmacophore showed weak ability to induce the cytokines in some
donors, where only the highest dose induced cytokine production.
Compound A was the most potent compound for IL-6 secretion in all
three donors. In donor 2, SC12 was as potent as compound A, whereas
SC12 was the second most potent compound in donor 1 and 3, Table 4.
On average, the compounds showed an order of potency as follows:
Compound A <SC12<free
pharmacophore<Imiquimod<SC18<SC8. SC8 showed levels of
cytokines which did not allow a solid dose-response curve. For
TNF-alpha secretion, SC12 was on average slightly more potent than
compound A, based on the results from the three donors, Table 4.
The order of potency was as follows: SC12<compound A <free
pharmacophore<SC18<SC8<Imiquimod, FIGS. 7-9. However, the
data for Imiquimod and SC8 were ambiguous, and only induced weak
TNF-alpha secretion in all three donors. The survival assay showed
an overall good survival of the cells throughout the study at all
concentrations tested, with no obvious cytotoxicity observed. One
donor, number 2, who was treated with SC12 had an increased
survival response (FIG. 10) but did not reflect a difference in
cytokine response (FIGS. 5 and 8).
TABLE-US-00008 TABLE 4 EC50 values determined in PBMCs from three
donors for the 6 TLR7 agonists with indications of average potency.
Com- Free pound Imiquimod ph A SC12 SC18 SC8 IL-6 secretion Donor 1
6.348 3.239 0.4597 1.439 7.808 11.02 MC50 mM Donor 2 1.994 2.671
0.7401 0.8642 12.35 11.31 MC50 mM Donor 3 4.643 2.443 0.2549 2.783
3.293 7.385 MC50 mM Average 4.328 2.784 0.485 1.696 7.817 9.905
EC50 mM TNFa secretion Donor 1 3.071 3.108 0.6443 0.9948 2.185 0
MC50 mM Donor 2 24.94 2.042 0.6651 0.2754 1-,54 9.543 MC50 mM Donor
3 22.39 1.544 0.6391 0.1207 1.958 0 MC50 mM Average 16.800 2.231
0.650 0.464 4.894 9.543 EC50 mM
[0292] In conclusion for Model 2, compound A and SC12 were the most
potent TLR7 agonists. Compound A was the most potent stimulator of
IL-6, and SC12 was slightly more potent than compound A for
TNF-alpha secretion. The other compounds showed different abilities
to induce IL-6 and TNF-alpha from the PBMCs in the different
donors, and their potency cannot be generally ordered. Imiquimod
and SC8 showed cytokine induction in the highest concentration
tested and low levels of secreted cytokine. Thus EC50 values cannot
be determined for Imiquimod and SC8. SC18 and free pharmacophore
showed similar responses for both IL-6 and TNF-alpha secretion,
which reached higher levels than for Imiquimod and SC8 but with
higher values than for the Raw264.7 model.
[0293] The Raw264.7 cell line responded to all compounds tested,
with compound A being the most potent, followed by SC12. These two
were followed by SC18, SC8 and free pharmacophore and showed
similar potencies, with Imiquimod showing the weakest induction of
IL-6 and TNF-alpha. The PBMC experiment showed compound A and SC12
as the two most potent TLR7 agonists, followed by SC18 and free
pharmacophore, but with low cytokine secretion measured after
treatment with Imiquimod and SC8.
Example 4
Test for Potency of TLR7 Agonists from Two Different Batches of
Compound A and SC12 in Human PBMCs
Aim
[0294] To determine the potency of 2 TLR7 agonists produced in two
different batches in human PBMCs for induction of IL-6
secretion.
Methods and Experimental Setup
[0295] PBMCs were purified from two donors and plated into 96 well
plates at 2.times.10.sup.5 cells/well in RPMI media including human
2% heat inactivated AB serum, glutamine, Pen-strep and
R-mercapto-ethanol. The cells were treated with TLR7 agonists for
24 h in 4 doses. The conditioned media was removed for ELISA
analyses for IL-6, and the EC50 value determined for each compound
and each batch.
Experimental Setup:
[0296] 1. Untreated cells [0297] 2. Untreated cells (vehicle
control) [0298] 3. Imiquimod [0299] 4. Compound A (new batch#20289)
[0300] 5. Compound A (old batch#CH730/25/8) [0301] 6. SC12 (new
batch#20288) [0302] 7. SC12 (old batch#CH730/2/13D)
[0303] All compounds were tested in four concentrations (10-1-0,
1-0.01 micromolar). IL6 was determined after 24 h incubation in
conditioned media by ELISA (IL6 gave in the last experiment the
most comparable dose-response results).
Data Handling:
[0304] Concentrations of IL-6 were determined by ELISA from R&D
Systems using the Microsoft Excel software. The results were
analyzed in Graph Pad Prism in order to prepare dose-response
curves, and for determination of EC50 values.
Statistical Analyses:
[0305] Due to the low number of donors, statistical evaluation
between individual EC50 values as not determined.
Results and Discussion
[0306] IL-6 was induced dose-dependently by all compounds, except
Imiquimod, which was only active in inducing IL-6 at the highest
concentration (10 microM). A summary of the results is shown in
Table 5 with indication of EC50 values for the two donors tested
(top two rows), and compared to the values from the first
experiments on the two compounds performed on three donors (bottom
three rows). The EC50 values for Imiquimod seemed to be somewhat
higher in this present experiment compared to the last experiment.
This can be explained by the storage at 40 C, and potentially the
heating procedure used to solubilize the compound completely before
use. SC12 showed similar EC50 values comparing this experiment with
the previous experiment when testing batch CH730/2/13D. The old
SC12 batch (CH730/2/13D) showed also similar EC50 values compared
to the new batch (#20288). Compound A showed also similar EC50
values in both this and the previous experiment when testing batch
(CH730/25/8). The new compound A batch #20289, showed also similar
EC50 values compared to the old batch. No test for cell survival
was performed since the last experiment showed no cytotoxic
activity in the concentrations tested.
TABLE-US-00009 TABLE 5 EC50 values determined in PBMCs from 5
different donors at different time points, with different batches
of SC12 and compound A. EC50 SC12 SC12 old Compound Compound
values/ new CH730/ A new A old microM Imiquimod 20288 2/13D 20289
Ch730/25/8 Donor 1 17.97 1.869 2.007 0.721 0.734 Donor 2 18.45
0.947 1.034 0.521 0.392 D1 6.348 1.439 0.460 D2 1.994 0.864 0.740
D3 4.643 2.782 0.255
Conclusions
[0307] The two TLR7 agonists SC12 and compound A showed similar
EC50 in the present experiment, indicating that they contain the
same amount of active compound. This further indicated that the
compounds (CH730/2/13D and CH730/25/8) have not lost activity
during the 5 months storage in DMSO at 40 C.
Example 5
Investigation of the Metabolic Stability of Compound a in Rat,
Rabbit, Minipig and Human Plasma and Metabolic Profiling in Rabbit
and Human Plasma; Comparison of Compound A and SC12 Stability in
Human Plasma
Abbreviations:
[0308] 2-Piperidinoethyl
4-amino-5-chloro-2-methoxybenzoate--M7319
Acetonitrile--ACN
[0309] Atmospheric Pressure chemical Ionization--APCI
Dimethylsulfoxide--DMSO
Electron Spray Ionization--ESI
[0310] Formic acid--HCOOH
Liquid Chromatography/Mass Spectrometry--LC/MS
Methanol--MeOH
Multiple Reaction Model--MRM
Retention Time--R.T.
Ultra Performance Liquid Chromatography--UPLC
Abstract
[0311] Stability of compound A* (another batch of compound A) was
tested in rat, rabbit, minipig and human plasma, and metabolic
profiling was assessed in rabbit and human plasma. Compound A* was
highly metabolized by esterases in rabbit and human, and in a
lesser extent in minipig and rat species. Metabolism was studied in
rabbit at 30 and 120 min and in human at 60 and 300 min, keeping
approximately constant the percentage remaining of the parent in
the two species. Three metabolites were found in rabbit and two of
them in human.
[0312] In rabbit the major metabolites were the monoester and the
acid metabolite, whereas only traces of the di-hydrolized
metabolite were observed. In human plasma only the first two major
metabolites, previously detected in rabbit, were identified at the
selected time points and the acid product was the predominant
metabolite at 120 min.
[0313] This study found that in human and rabbit species a
comparable profile of clearance and metabolism profile was found,
with the formation of only two major metabolites where the rate
limiting step was the hydrolysis leading to monoester formation,
which rapidly converted into the acid derivative.
[0314] In a second experiment performed in human plasma with a
second batch of compound A (batch 20289) in comparison with SC12
suggested that SC12 was more stable than compound A, because it was
not metabolized up to 120 min, and more than 70% of the compound
was still present at 300 min. On the contrary, compound A showed
instability after 60 min incubation
Introduction
[0315] Hydrolytic enzymes present in plasma strongly contributed to
the metabolism of compounds. Many drugs containing an ester bond
were used as prodrug to increase permeability or solubility or to
decrease toxic systemic effect. Esterases exist in many variety and
species differences can generally result from the existence of
different types in biological media and differences in their
substrate specificity. Additionally bioconversion can be affected
by various factors such as age, gender and disease.
Objective
[0316] The purpose of the assay was to compare stability, as
percentage remaining of the parent, in several plasma species at
different time points. Profiling of the major metabolites formed
after incubation in plasma at 2 time points was carried out in
rabbit and human plasma.
[0317] A second experiment with a different batch of compound A was
performed by utilizing a different batch of human plasma and in
comparison with SC12.
Plasma Stability and Metabolism Studies
Materials
[0318] The following substances were obtained from the source
indicated: ACN from J.T Baker, Germany, lidocaine, verapamil and
M7319 from Sigma-Aldrich. HCOOH from Fluka. Deionized water from
MilliQ apparatus (Millipore).
Plasma Samples were Obtained from the Source Indicated:
[0319] Rat plasma from Charles River, Calco, Italy. Minipig, human
and rabbit plasma from Biopredic, Rennes, France.
[0320] Compound A
2-(4-((6-amino-2-(2-methoxyethoxy)-8-oxo-7H-purin-9(8H)-yl)methyl)benzami-
do)ethyl 2,3-bis(oleoyloxy)propyl phosphate
[0321] Batch code: compound A* (First experiment), 20289 (Second
experiment).
[0322] Storage Conditions: 4.degree. C. as powder, -20.degree. C.
as stock solution in DMSO
[0323] Compound SC-12:
2-(4-((6-amino-2-(2-methoxyethoxy)-8-oxo-7H-purin-9(8H)-yl)methyl)benzami-
do)ethyl 2,3-bis(oleoyloxy)propyl phosphate
[0324] Batch code: 20288
[0325] Storage Conditions: 4.degree. C. as powder, store desiccated
and away from direct light
Instruments
[0326] UPLC (Waters) interfaced with a Premiere XE Triple
quadrupole (Waters) for clearance determination and UPLC (Waters)
interfaced with Ion Trap HCTultra (Bruker Daltonics) for metabolic
profiling.
Method
[0327] First experiment: Test compounds (50 mM DMSO) were diluted
at the final concentration of 250 .mu.M (in duplicate) with ACN.
Plasma of different species (1 ml) was spiked with 10 .mu.l of 250
.mu.M solution of the compound and aliquots of 50 .mu.l volume were
taken at 0, 15, 30, 60, 120 min and 5 hrs, and immediately quenched
with 200 .mu.l of a solution of Verapamil 250 ng/ml (internal
standard, I.S.) in ACN. A 10 .mu.l of MeOH was added to improve
solubility. Samples were then centrifuged for 5 min at 13000 rpm
and analyzed as reported below. Lidocaine and M7319 were used as
reference standards and incubated as described above. The
supernatant fractions were analyzed by LC/MS/MS. Zero-time
incubations were used as 100% values. Percent loss of substrate in
incubations was determined to estimate the in vitro half life of
the test compound.
[0328] Metabolism experiments were performed at 50 .mu.M final
concentration of test compound and samples collected at two time
points established in light of the half life of the compound, and
analyzed by LC/MS/MS after addition of ACN and internal
standard.
[0329] Second experiment: Test compounds (5 mM in DMSO) were
diluted at the final concentration of 250 .mu.M with ACN-MeOH
1:1.
[0330] Human plasma (1.180 ml) was spiked with 20 .mu.l of 250
.mu.M solution of the compound (4.16 .mu.M final concentration) and
aliquots of 50 .mu.l volume were taken at 0, 15, 30, 60, 120 min
and 5 hrs, and immediately quenched with 200 .mu.l of a solution of
Verapamil 250 ng/ml (internal standard, I.S.) in ACN:MeOH 95:5.
Samples were then centrifuged for 20 min at 3000 rpm at 10.degree.
C. and analyzed as reported below. Lidocaine and M7319 were used as
reference standards and incubated as described above. The
supernatant fractions were analyzed by LC/MS/MS. Zero-time
incubations were used as 100% values.
Sample Analysis
[0331] Sample analysis for plasma stability determination (First
experiment)
[0332] Samples were analyzed on a UPLC (Waters) interfaced with a
Premiere XE Triple Quadrupole (Waters).
[0333] Eluents were:
[0334] Phase A: 95% H2O, 5% MeOH, 0.1% HCOOH
[0335] Phase B: 5% H2O, 95% MeOH, 0.1% HCOOH
[0336] Column: Acquity BEH C8, 2.1.times.5 mm 1.7 um at 55.degree.
C.
[0337] Injection. Vol.: 5 .mu.l.
[0338] A chromatographic method is reported below in Table 6.
TABLE-US-00010 TABLE 6 Chromatographic method for clearance
determination Time Flow (min) (ml/min) % A % B 0 1 90 10 0.2 1 90
10 0.3 1 0 100 4.0 0.6 0 100
[0339] ESI pos, Capillary 3.4 kV, Extractor 5V, Source T
115.degree. C., Desolvation T 450.degree. C. Cone Gas L/h 98,
Multiplier 630 V.
[0340] In Table 7 the MRM transitions applied to compound A were
reported.
TABLE-US-00011 TABLE 7 MRM transitions and parameters applied
Collision Cone Energy Compound Q1/Q3 (V) (V) compound A
1086.6/604.4 35 30 1086.6/385.2
Sample Analysis for Metabolic Profiling
[0341] The samples were analyzed using a Waters UPLC
chromatographic system coupled with a Bruker Daltonics
HCTultra.RTM. ion trap Mass Spectrometer. Before the analysis of
the incubated samples, compound A was infused manually to
understand parent fragmentation. Infusion was performed by diluting
a 50 mM solution in DMSO to 1 .mu.M with ACN/MeOH 1/1. Sample
solution was infused into the ion trap source at a flow rate of 4
ul/min.
[0342] Through a T-union 75 .mu.l/min of H.sub.2O/ACN 1/1+0.1%
formic acid from the UPLC system was mixed with the flow of the
compound solution to stabilize the flow rate and the signal.
[0343] The following conditions were applied to the Ion Trap: ESI
positive, Capillary -4 KV, Cap Exit 164.3V, Skimmer 40V, Trap Drive
88.4, Neb. Gas 70 psi, Dry Gas 101/min, Dry Temp 350.degree. C.
[0344] Incubated samples were analyzed on a UPLC (Waters)
interfaced with an Ion Trap HCT ultra (Bruker Daltonics).
[0345] Eluents were:
[0346] Phase A: 95% H2O, 5% MeOH, 0.1% HCOOH
[0347] Phase B: 5% H2O, 95% MeOH, 0.1% HCOOH
[0348] Column: Acquity BEH C8 50.times.2.1 mm, 1.7 um at 55.degree.
C.
[0349] Injection. Vol.: 5 ul.
[0350] A chromatographic method is reported below in Table 8.
TABLE-US-00012 TABLE 8 Chromatographic method for metabolic
profiling Time Flow (min) (ml/min) % A % B 0 1 90 10 0.2 1 90 10 7
1 0 100 12 1 0 100
Sample Analysis (Second Experiment)
[0351] Compound A and SC12 were analyzed using a Waters UPLC
chromatographic system coupled with a Bruker Daltonics
HCTultra.RTM. Ion Trap Mass Spectrometer.
[0352] Eluents were:
[0353] Phase A: 95% H2O, 5% MeOH, 0.1% HCOOH
[0354] Phase B: 5% H2O, 95% MeOH, 0.1% HCOOH
[0355] Flow 0.6 ml/min. Column: Supelco, Discovery HS F5, 3.3
cm.times.2.1 mm; 55.degree. C.
[0356] Injection Volume: 10 .mu.l.
[0357] A chromatographic method is reported below in Table 9.
TABLE-US-00013 TABLE 9 Chromatographic method Time (min) % A % B 0
90 10 0.5 90 10 1 0 100 3 0 100 3.1 90 10 3.5 90 10
[0358] The following conditions were applied to the Ion Trap:
[0359] For compound A: ESI positive, Capillary -4 KV, Cap Exit
164.3V, Skimmer 40V, Trap Drive 88.4, Neb. Gas 70 PSI, Dry Gas
101/min, Dry Temperature 350.degree. C. [0360] For SC12: ESI
positive, Capillary -4 KV, Cap Exit 200V, Skimmer 49.5V, Trap Drive
85.0, Neb. Gas 70 PSI, Dry Gas 101/min, Dry Temperature 350.degree.
C.
[0361] MRM transitions used for the quantifications were reported
in Table 10.
TABLE-US-00014 TABLE 10 MRM transitions Compound [MH]+ Transitions
compound A 1085.6 603.6.fwdarw.385.23 SC12 921.6
439.45.fwdarw.385.23
Data Analysis
[0362] Stability was calculated as percentage remaining of the area
ratio compound/I.S. at each time point vs. area ratio compound/I.S.
at time 0 min. A general stability classification is reported in
Table 11.
TABLE-US-00015 TABLE 11 General stability classification at 1 hr of
incubation % remaining >80 80-60 60-30 <30 Classification
Stable Slightly unstable Unstable Unstable
[0363] Metabolism was studied at 60 min and 300 min in human
plasma, and at 30 and 120 min in rabbit plasma, i.e. at the time
points where the two species showed a similar percentage remaining
of the parent compound. Assignment of the structures was done by
comparison of the MS/MS analysis of the spectra with the parent
spectrum.
Results
Plasma Stability (First Experiment)
[0364] Results obtained on plasma stability experiments are shown
in Table 12.
[0365] Compound A was unstable in all the tested species; rabbit
was the species with the highest clearance, followed by human and
rat species; minipig showed the lowest clearance. In rabbit, rat
and human plasma the first part of the curve up to 30 min is steep,
whereas the remaining part has a milder slope. Standards were in
agreement with literature data.
TABLE-US-00016 TABLE 12 Percentage remaining of compound A in rat,
rabbit, minipig and human plasma (% Remaining--Mean .+-. S.D.) Time
(min) Rat Rabbit Minipig Human 0 100 100 100 100 15 73.8 .+-. 4.5
38.7 .+-. 3.4 102.4 .+-. 3.3 99.7 (*) 30 67.1 .+-. 8.8 10.2 .+-.
1.0 73.3 .+-. 5.0 40.4 .+-. 15.5 60 25.2 .+-. 0.5 7.4 .+-. 0.1 78.6
.+-. 2.9 36.1 .+-. 7.6 120 21.4 .+-. 1.9 4.4 .+-. 0.7 33.7 .+-. 2.3
17.4 .+-. 2.6 300 15.3 .+-. 1.0 1.9 .+-. 0.1 10.8 .+-. 0.3 7.8 .+-.
3.3 Data are expressed as Mean .+-. S.D., n = 2, except when (*)
where n = 1
Plasma Stability (Second Experiment)
[0366] Results on human plasma stability experiments for compound A
and SC12 were shown in Table 13. For compound A, an instability
(about 80% remaining) was observed after 60 min incubation reaching
a 56% remaining at 300 min. In this second experiment a different
batch of compound A together with different analytical conditions
and batch of human plasma in respect to the first experiment have
been utilized: this could explain some differences observed between
the percent remaining obtained.
[0367] SC12 was stable in human plasma up to 120 min. More than 70%
of compound was still present after 300 min incubation. This data
is in line with that found in a previous experiment (data not
shown). Standard compounds tested in the same experiment were in
agreement with literature data (Table 14).
TABLE-US-00017 TABLE 13 Percentage remaining of compound A and SC12
in human plasma Time (Mean .+-. S.D.) % remaining (min) Compound A
SC12 0 100 100 15 100.6 .+-. 14.5 112.6 .+-. 1.0 30 90.3 .+-. 13.3
110.0 .+-. 1.0 60 79.5 (*) 96.7 .+-. 6.3 120 69.8 .+-. 16.8 102.1
.+-. 8.7 300 55.7 .+-. 9.9 72.4 .+-. 4.6 Data are expressed as Mean
.+-. S.D., n = 2; except when (*) where n = 1
TABLE-US-00018 TABLE 14 Percentage remaining of standard compounds
in human plasma Time (Mean .+-. S.D.) % remaining (min) Lidocaine
M7319 0 100 100 60 107.1 .+-. 7.7 23.3 .+-. 1.4 300 105.1 .+-. 3.3
0.01 .+-. 0.01
Metabolic Profiling
[0368] Parent fragmentation: Major fragments were attributed as
reported in Table 15 from MS/MS spectrum.
TABLE-US-00019 TABLE 15 Attribution of compound A major fragments
Delta MH.sup.+ (m/z) m/z Proposed Structure 1085 parent
##STR00021## 603 -482 ##STR00022## 385.6 -700 ##STR00023## 327 -758
##STR00024## ##STR00025##
Metabolites Profiling
[0369] Metabolic profiling was studied in rabbit and human plasma.
In both matrixes the parent compound (50 uM starting concentration)
was totally metabolized at the last time point. Metabolites were
detected in Full scan and peaks were assigned by MH+ and MS/MS
spectra. The parent compound showed a low response in Full Scan
profile, therefore initial Full Scan chromatograms were not
significant.
[0370] A summary of the metabolites with MH+ and retention time was
reported in Table 16. In rabbit species three metabolites with MH+
of 557, 821 and 360 respectively, were detected at retention times
(r.t.) 1.1, 6.3 and 6.4 min.
[0371] The most abundant peak corresponded to MH+821 (M2) that was
assigned to the mono-ester product which was converted 1:1 into the
acid metabolite at 120 min; only a small peak corresponding to the
di-hydrolized product was present (MH+557, M1). A similar profile
was also observed in human plasma where the two major metabolites
showed the same MH+ and retention time of rabbit profile and their
ratio was 1:1 after 60 min of incubation, while metabolite M3 was
the major product at 300 min. Traces of di-hydrolized metabolite
(MH+557) were present in human plasma already at time 0 and
therefore it was not considered as metabolite. Therefore it was
hypothesized that the rate determining step of metabolism was the
formation of the monoester whereas all the other degradation steps
occur in a much faster way. A potential selectivity of hydrolysis
in position 1 or 3 of the di-acyl glycerol moiety was not
attributed.
TABLE-US-00020 TABLE 16 Identified metabolites in rabbit and human
plasma M1 M2 M3 min 1.1 6.3 6.4 MH+ 557 821 360 Rabbit x x x Human
x x
Conclusions
[0372] Compound A stability in plasma was studied in four species:
rabbit, human, rat and minipig. The product was highly metabolized
by esterases in rabbit and human and at a lesser extent in minipig
and rat. Metabolism was studied in rabbit at 30 and 120 min and in
human at 60 and 300 min keeping approximately constant the
percentage remaining of the parent in the two species. Three
metabolites were found in rabbit (M1, M2 and M3) and two of them in
human (M2 and M3). In rabbit the major metabolites were the
monoester and the acid metabolite whereas only traces of the
di-hydrolized metabolite were observed. In human plasma only the
monoester and the acid metabolite, previously detected in rabbit,
were identified at the selected time points and the acid product
was the predominant metabolite at 120 min.
[0373] In conclusion the two species present a comparable profile
of clearance and metabolism profile with the formation of only two
major metabolites where the rate limiting step was the hydrolysis
leading to monoester formation which rapidly converted in to the
acid derivate.
[0374] SC12 appeared more stable than compound A in human plasma,
with a 70% of compound still present at 300 min.
Example 6
Potency of TLR7 Agonists in Human Whole Blood Assays on
Plasmacytoid DCs, Myeloid DCs and B Cells
Aim
[0375] To determine the potency of 2 TLR7 agonists in whole blood
assays in comparison to Imiquimod.
[0376] Specifically, it will be examined if the two TLR7 agonists
compound A and SC12 show differences in potency in activation of
immune cells in the whole blood assay. The optimal parameters in
order to be able to show differences between the biological effect
of compound A and SC12 were believed to be measurements of B-cell,
myeloid DC and plasmacytoid DC activation.
Methods and Experimental Setup
[0377] A volume of approximately 55 mL fresh whole blood was drawn
in heparinized Vacutainers from three healthy adult anonymous
volunteers as described (J. A. Ida, Journal of Immunol Methods,
310, 2006, 86-99). The donors were healthy, did not suffer from
known immune disorders, and were not on medication. Before drawing
the blood, the compounds were added to 96 well round bottom plates
in a 10.times. diluted sample at 20 ul. The compounds were diluted
in RPMI media without serum but with antibiotics. Antibiotics were
added at a 10.times. concentration. After drawing the blood, the
whole blood sample was gently mixed to obtain a homogeneous sample,
and 180 ul was added to each well.
[0378] After 6 hours and 24 hours incubation, plasma was removed
for ELISA (IL-6, IL-10, IL-12p40 and IFN-alpha). ELISA was made at
the 6 and 24 hours time point for all concentrations. After 24
hours incubation with selected compound concentrations, cells were
analyzed for activation markers by FACS.
[0379] The following samples were prepared:
Experimental Setup:
[0380] 1. Untreated cells 2. Untreated cells (vehicle control) 3.
Imiquimod (old batch) 4. Compound A (old batch) 5. SC12 (old
batch)
[0381] All compounds were setup in concentrations at
0-0.01-0.03-0.1-0.5-2.0-10.0 micromolar as the final concentration.
Vehicle control was DMSO control, where we used the highest
concentration used for the compounds. After addition of blood, all
plates were gently agitated at 37.degree. C. and 5% CO.sub.2 until
harvest. The samples were removed after 6 or 24 hours incubation,
and pooled into appropriate tubes (2 ml).
[0382] For the 6 hours time point, the plate was centrifuged
500.times.g. Supernatant (SN) was transferred to a tube and
centrifuged at 10.000.times.g for 10 min to get rid of cells and
protein aggregates. The clarified supernatant was frozen at -80 C
until analysis.
[0383] For the 24 hours time point, the samples in the wells were
pooled into tubes, which were centrifuged 500.times.g for 10 min at
4 C to clarify the SN. The SN was removed to another tube and
centrifuged at 10.000.times.g for 10 min. to get rid of aggregates
etc. The clarified supernatant was frozen at -80 C until
analysis.
FACS Analysis
[0384] A flow cytometric analysis was performed on whole blood from
three donors after treatment with two compound concentrations for
24 h. The FACS analysis for donor 1 and donor 2 was made on another
day than donor 3. The compound concentrations were as follows:
[0385] B cell activation: 2 and 10 uM
[0386] mDC/pDC: 0.1 and 0.5 uM
[0387] The FACS analysis was used to identify whether the test
compounds could induce activation of B cells, and two different
subsets of dendritic cells, namely the myeloid CD11c+/CD123- DCs
and the plasmacytoid CD11c-/CD123+ DCs. The following markers were
studied to identify the activation status of the different
subsets:
B-cells: HLA-DR/CD20/CD40
[0388] pDCs: HLA-DR/CD123+/CD11c-/CD80 HLA-DR/CD123+/CD11c-/CD86
HLA-DR/CD123+/CD111c+/CCR7 mDCs: HLA-DR/CD123-/CD11c+/CD80
HLA-DR/CD123-/CD11c+/CD86 HLA-DR/CD123-/CD11c+/CCR7
[0389] The FACS staining was performed according to the
manufacturer's instructions. Lysis of red blood cells was performed
before FACS staining in order to minimize auto-florescence. To
include as many B cells and DCs in the study as possible the FACS
analyses were performed on 500,000 cells in total for each
staining. A P1 gate was set only to include relevant cells on FSC
vs. SSC (see FIGS. 12-15). The results of the individual analysis
were present as Mean Fluorescence
Intensity
[0390] 15 (MFI) values, for certain activation marker in a given
gate setting, represent the actual cell subset. The isotype
background values have been used to set the gates so that a maximum
at 2% of unspecific stained cells could be found in the positive
gates.
Data Handling:
[0391] Concentrations of cytokines were determined by ELISA from
R&D Systems. The results were analyzed in Graph Pad Prism in
order to prepare dose-response curves, and for determination of
EC50 values. FACS analysis was made by using Becton-Dickinson
FACSDiva software and subsequently illustrated in Graph Pad
Prism.
Statistical Analyses:
[0392] Statistical evaluation between individual EC50 values was
for relevant cytokines determined using two-tailed T-test with
unequal variance.
Results and Discussion:
Cytokine Secretion
[0393] IL-6 Secretion after 6 and 24 h
[0394] After 6 h incubation with compound A and SC12, all donors
induced IL-6 secretion in a dose-dependent manner. Imiquimod
induced low and insignificant amounts of IL-6, which did not allow
a sigmoid dose-response curve as for compound A and SC12. EC50
values were determined for compound A and SC12 as seen in table 17.
There was a tendency for SC12 to show slightly more potent EC50
values than compound A in all three donors. However, based on only
three donors, this could not be confirmed as being statistically
significant.
TABLE-US-00021 TABLE I7 EC50 values for IL-6 secretion after 6
hours incubation in whole blood with TLR7 agonists. EC50-IL-6, 6 h
Incubation/uM Imiquimod Compound A SC12 Donor 1 -- 0.94 0.57 Donor
2 -- 0.63 0.18 Donor 3 -- 0.52 0.37
[0395] After 24 h incubation with compound A, SC12 and Imiquimod,
all donors induced IL-6 secretion, but Imiquimod only in the
highest concentration tested. EC50 values were determined for all
compounds, however, for Imiquimod this determination was not
accurate since only the highest concentration was significantly
above the detectable level, which did not allow a sigmoid-dose
response curve. The levels of IL-6 after 24 hours incubation were
only slightly above the levels of IL-6 seen after 6 hours
incubation. EC50 values of all compounds for IL-6 secretion after
24 hours incubation was seen in table 18. There was the same
tendency at 24 hours as for 6 hours, that SC12 was slightly more
potent, and showed lower EC50 values than compound A in all three
donors. Comparison between the result for all three donors on EC50
values for compound A and SC12 using a two tailed T test showed a
P-value of 0.07, which shows that the responses for the two
compounds was not significantly different.
TABLE-US-00022 TABLE 18 EC50 values for IL-6 secretion after 24
hours incubation in whole blood with TLR7 agonists. EC50-IL-6, 24 h
Incubation/uM Imiquimod Compound A SC12 Donor 1 11.06 0.52 0.22
Donor 2 10.57 0.32 0.06 Donor 3 10.58 0.29 0.17
[0396] In summary, IL6-secretion was induced by compound A and SC12
in all three donors to similar levels and with similar EC50 values,
but SC12 showed a tendency to be slightly more potent. Furthermore,
the range of IL-6 secretion (4000-8000 pg/ml) was in line with
results published by Clarke et al., Jour. Interferon & Cytokine
Research, 29, 2, 2009, 113-126.
IFN-Alpha Secretion after 6 and 24 Hours
[0397] After 6 hours incubation with compound A and SC12, all
donors induced IFN-alpha secretion in a dose-dependent manner,
whereas Imiquimod did not induce IFN-alpha secretion. Donor 1 and 2
induced IFN-alpha to levels in the 2000 pg/ml range, whereas donor
3 only induced to the 500 pg/ml range. EC50 values were determined
for compound A and SC12 as seen in Table 19. There was again a
tendency for SC12 to show slightly more potent EC50 values than
compound A in all three donors, however, this was not significant
(P=0.23).
TABLE-US-00023 TABLE 19 EC50 values for IFN-alpha secretion after 6
h incubation in whole blood with TLR7 agonists. EC50-IFN-alpha, 6 h
Incubation/microM Imiquimod Compound A SC12 Donor 1 -- 1.17 0.98
Donor 2 -- 1.84 0.83 Donor 3 -- 1.94 1.66
[0398] After 24 hours incubation with compound A, SC12 and
Imiquimod, all donors induced IFN-alpha secretion, but Imiquimod
again only in the highest concentration tested. EC50 values were
determined for compound A and SC12. The EC50 value for Imiquimod
was again not accurate due to induction at the highest
concentration only. The levels of IFN-alpha after 24 h incubation
were below the levels of IFN-alpha seen after 6 hours incubation
for donor 1 and 2, indicating that this cytokine can be removed by
cells in the assay. EC50 values of all compounds for IFN-alpha
secretion after 24 hours incubation were seen in table 20. After 24
hours all three donors induced IFN-alpha in the 1000 pg/ml range,
indicating that donor 3 responded to compound A and SC12 slowed
than donor 1 and 2. SC12 was again slightly more potent than
compound A, although it was not significantly different
(P=0.11).
TABLE-US-00024 TABLE 20 EC50 values for IFN-alpha secretion after
24 h incubation in whole blood with TLR7 agonists. EC50-IFN-alpha,
24 h Com- Incubation/uM Imiquimod pound A SC12 Donor 1 10.81 0.24
0.20 Donor 2 10.56 0.47 0.11 Donor 3 10.55 0.35 0.24
[0399] In conclusion, IFN-alpha secretion was induced by compound A
and SC12 in all three donors to similar levels and with similar
EC50 values, but SC12 showed a tendency to be slightly more potent.
In comparison to published results, the ranges of IFN-alpha
secreted in this study (1000-2000 pg/ml) was higher than published
data (<200 pg/ml), shown with Resiquimod (Clarke et al., Jour.
Interferon & Cytokine Research, 29, 2, 2009, 113-126). However,
this can be explained by expected lower potency of Resiquimod
compared to compound A and SC12. Secondly, IFN-alpha secretion was
known mainly to be induced by pDCs, and since IFN-alpha was
secreted already after 6 hours in this study, it indicates that
pDCs were activated as one of the initial responses seen after
treatment of whole blood cells with compound A and SC12 (J. A. Ida,
Journal of immunol methods, 310, 2006, 86-99).
IL-10 Secretion after 6 and 24 h
[0400] After 6 hours incubation with Imiquimod, compound A or SC12,
and no IL-10 production was seen, indicating that IL-10 secretion
was a secondary effect to treatment of whole blood cells with the
TLR7 agonists. After 24 hours incubation with compound A, SC12 or
Imiquimod, all donors induced IL-10 secretion, but Imiquimod again
only in the highest concentration tested. EC50 values were
determined for all compounds, however, for Imiquimod this
determination was again not accurate due to induction of IL-10 at
the highest concentration only. EC50 values of all compounds for
IL-10 secretion after 24 hours incubation were seen in table 21.
After 24 hours all three donors induced IL-10 in the 2000-40000
pg/ml range. Compound A and SC12 showed similar ability to induce
IL-10, with no significant differences between the two
compounds.
TABLE-US-00025 TABLE 21 EC50 values for IL-10 secretion after 24
hours incubation in whole blood with TLR7 agonists EC50-IL-10, 24 h
Com- Incubation/uM Imiquimod pound A SC12 Donor 1 4.00 1.29 1.34
Donor 2 10.81 0.86 0.41 Donor 3 12.87 2.28 9.00
[0401] In conclusion, IL-10 was induced later in the assay, with no
induction after 6 hours, but only after 24 hours incubation. This
indicates that IL-10 was induced as a secondary response in the
assay, and possibly not as a direct effect of TLR7 ligation with
the compounds tested. This was consistent with studies by Douagi et
al, Journal of Immunology, 182, 2009, 1991-2001, where IL-10 was
induced in a human PBMC model only after 12 and 20 hours, but not
after 4 hours. Furthermore, Douagi et al, showed that mDCs were the
main producers of IL-10 compared to pDCs. Supported by studies by
Boonstra et al., Journal of Immunology, 177, 2006, 7551-7558, who
showed that mouse macrophages and mDCs produced IL-10 much more
potently than pDCs after TLR ligation, the current results on IL-10
secretion by TLR7 ligation, indicates that the secretion of IL-10
occurs in mDCs or potentially macrophages present in the whole
blood assay, potentially as a secondary response.
IL-12p40 Secretion after 6 and 24 Hours
[0402] After 6 hours incubation with compound A and SC12, all
donors induced IL-12p40 secretion in a dose response manner,
whereas Imiquimod did not induce IL-12p40 secretion, not even in
the highest concentrations. All donors induced IL-12p40 to levels
in the 8.000-12.000 pg/ml range. EC50 values were determined for
compound A and SC12 as seen in table 22. The compounds seemed to be
equally potent in induction of IL-12p40, with no significant
differences.
TABLE-US-00026 TABLE 22 EC50 values for IL-12p40 secretion after 6
hours incubation in whole blood with TLR7 agonists. EC50-IL-12, 6 h
Com- Incubation/uM Imiquimod pound A SC12 Donor 1 -- 2.31 1.96
Donor 2 -- 2.09 2.36 Donor 3 -- 3.43 3.56
[0403] After 24 hours incubation with compound A, SC12 or
Imiquimod, all donors induced IL-12p40 secretion to levels of
IL-12p40 in the 20.000-25.000 pg/ml range after compound A and SC12
treatment, whereas Imiquimod did not induce IL-12p40 even in the
highest concentrations. EC50 values were determined for compound A
and SC12 as seen in table 23. Both compounds showed similar EC50
values, with no significant differences.
TABLE-US-00027 TABLE 23 EC50 values for IL-12p40 secretion after 24
hours incubation in whole blood with TLR7 agonists EC50-IL-12p40,
24 h Com- Incubation/uM Imiquimod pound A SC12 Donor 1 -- 2.87 4.10
Donor 2 -- 2.74 1.42 Donor 3 -- 4.03 14.17
[0404] In conclusion, IL-12p40-secretion was induced by compound A
and SC12 in all three donors to similar levels and with similar
EC50 values. The induction was seen both at 6 and 24 hours
treatment, with increased amounts at the 24 hours time point. In
mouse cells, IL-12p40 is mainly produced by mDCs upon TLR ligation,
compared to the production in macrophages and pDCs (Boonstra et
al., Journal of immunology, 177, 2006, 7551-7558). If a similar
pattern of IL-12p40 expression was seen for human cells, it
indicates that compound A and SC12 follow a similar activation
profile in human mDCs.
Conclusions Regarding Cytokine Secretion
[0405] Compound A and SC12 were potent inducers of DC secreted
cytokines identified in the supernatant from whole blood cell
assays, whereas Imiquimod was a weak inducer of these cytokines.
This result was expected based on previous results in a PBMC model
with the same compounds. There was a tendency for SC12 to be
slightly more potent in induction of IL-6 and IFN-alpha, compared
to the potency of compound A. However, with the number of three
donors used, this could not be demonstrated to be statistically
significant.
[0406] For IL-10 and IL-12p40 secretion, compound A and SC12 were
equally potent based on this study. IL-10 was not produced after 6
hours, but only after 24 hours incubation. IL-12p40 was induced
both after both 6 and 24 hours incubation.
[0407] Based on the current knowledge involving TLR7 activation of
PBMCs and whole blood assays, pDCs are known to be the main
producers of IFN-alpha. IL-6 was produced by both mDCs and pDCs,
IL-10 was produced mainly by mDCs, and IL-12p40 mainly by mDCs. The
production pattern of IL-6 and IFN-alpha could indicate that SC12
was slightly more potent in activation of pDCs than compound A. In
assays with human primary cells, the presence and activation with
TLR7 ligands of pDCs was required for stimulation of B-cell
proliferation, and the production of IFN-alpha from pDCs was known
to be required for activation of B-cell proliferation and
initiation of antibody production (Douagi et al, Journal of
immunology, 182, 2009, 1991-2001, FIGS. 2 and 3).
[0408] In the previous model with testing of compound A and SC12 in
the PBMC model, compound A showed a tendency to be slightly more
potent than SC12 in IL-6 secretion, however, this was not
significant in the previous study either. A difference in potency
of compounds in the two models can potentially be explained by
differences in chemical or physical properties of the compounds,
since differences in lipophilicity potentially will show a
difference in partition into the cell pool in each assay. The whole
blood assay contains approximately a 50% cell volume, due the
presence of large amounts of red blood cells and platelets. In
contrast, a PBMC model contains much lower cell volume (<5%). In
this regard, the large amounts of cells present in the whole blood
assay may work as a buffer for highly lipophilic compounds.
FACS Analysis
B-Cell Analysis (FIG. 12):
[0409] The analysis of expression of the activation marker CD40 on
B cells was made on double positive HLA-DR (MHC class II) (P4 gate)
and CD20 cells (B cell marker) (P8 gate). FIG. 12 shows the results
from the three donors after treatment with the test compounds for
24 hours, including the MFI values for CD40 expression on double
positive HLA-DR+/CD20+ B cells after 24 hours incubation with test
reagents as indicated, performed on whole blood from three donors
(D1-D3).
[0410] The activation marker CD40, shows an increased expression in
all three donors after treatment with the control compound
Imiquimod in the highest concentration (10 uM), in comparison with
untreated or DMSO treated cells. Both test compounds, compound A
and SC12, induced CD40 expression in donor 1 and donor 2 in all
tested concentrations. However, in donor 3 only the highest
concentration of the two test compounds induced CD40 expression
compared to untreated cells. In all three donors, compound A showed
a weak tendency to stimulate a slightly higher CD40 expression than
SC12 in all three donors, when tested at 10 uM. However, this
tendency cannot be confirmed as statistically significant due to
the small number of donors.
DC Analysis (FIGS. 13-15):
[0411] The expression pattern of the co-stimulatory activation
marker CD80 and CD86 and the chemokine receptor CCR7 was
investigated on two different subsets of DCs. Samples for DC
analyses on untreated cells from donor 1 was lost, but a parallel
sample which was untreated (DMSO) control cells served as similar
control cells.
1. Myeloid Dendritic Cells (mDC):
[0412] The analysis of myeloid DCs was based on
HLA-DR+/CD11c+/CD123-cells, thus all analyzed cells was included in
the HLA-DR+ (P3) gate and CD11c+/CD123- (Q4) gate (see gates in
FIGS. 13-15).
[0413] It was found that Imiquimod induced a weak expression of
CD80 in donor 1 and 2, which was in contrast to donor 3 where the
CD80 expression was high. Both test compounds, compound A and SC12,
induced a noteworthy CD80 expression in all three donors. In two
out of the three donors (D1 and D3), SC12 in the highest
concentration (0.5 uM) showed a potent stimulation on CD80
expression, which was higher than the levels seen for compound A.
In donor 2, compound A stimulated CD80 expression slightly more
potent than SC12 in the highest concentration only.
[0414] Analyses of CD86 expression in mDCs, showed that untreated
cells already expressed high levels of CD86 in all three donors,
which was not an uncommon observation. However, compound A further
stimulates the expression of CD86 in all three donors. SC12 induces
a weak CD86 expression in donor 2 and 3, but not in donor 1. The
lowest concentration of both test compounds at 0.1 uM, showed most
potently to induce CD86 expression. This was in contrast to the
CD80 expression where the highest tested dose at 0.5 uM, were the
most potent concentration.
[0415] The chemokine receptor CCR7, which is a lymph node homing
receptor, was also investigated on the mDCs. CCR7 expression showed
a higher donor to donor variation than CD80 and CD86. For all
donors, compound A induced the highest CCR7 expression, and for
donor 1 and 3 Imiquimod also showed high CCR7 expression, which was
not seen in donor 2. SC12 was for all donors a less potent
stimulator of CCR7 expression.
2. Plasmacytoid Dendritic Cells (pDC)
[0416] The analysis of pDCs was based on HLA-DR+/CD11c-/CD123+
cells, thus all analyzed cells were included in the HLA-DR+ (P3)
gate and CD11c-/CD123+ (Q1) gate. (FIGS. 13-15).
[0417] In the pDCs both compound A and SC12, shows a comparable
effect at the CD80 expression pattern in all three donors. However,
SC12 induces a slightly higher CD80 expression than compound A in
all three donors, except for the lower concentration in donor
3.
[0418] Expression of CD86 in pDCs, shows that SC12 has a tendency
to induce higher CD86 expression than compound A in all three
donors. However, the most potent concentration varies, as the
lowest dose at 0.1 uM, induces the highest CD86 expression in donor
1 and 3, whereas 0.5 uM was the most potent concentration in donor
2. Imiquimod induce a similar high CD86 expression in donor 3 as
SC12 and compound A.
[0419] The CCR7 expression pattern in pDCs was similar to what we
found in the mDCs. Compound A induced largely higher CCR7
expression than SC12 in all three donors. Imiquimod in FIG. 16
shows MFI values for CD80, CD86 and CCR7 expression in
HLA-DR+/CD11c-/CD123+ pDCs after 24 hours incubation with test
reagents as indicated, performed on whole blood from three donors
(D1-D3).
Conclusion of FACS Analysis:
[0420] The overall conclusions on the B cell studies was that
compound A at the highest concentration (10 uM) stimulates slightly
higher levels of the maturation marker CD40 than SC12 in all three
donors.
[0421] For DC activation, SC12 was largely more potent than
compound A regarding stimulation of the activation marker CD80,
which was the case for both mDCs and pDCs (although a few
exceptions were seen).
[0422] For the activation marker CD86 the results were a bit
different as compound A was slightly more potent than SC12 in mDCs,
whereas SC12 was slightly more potent than compound A in pDCs.
However, the most potent concentration for expression of CD86
varies between the donors. Expression of the chemokine receptor
CCR7, showed that compound A was more potent than SC12 in both DC
subsets in most donors. As for the CD86 expression, the most potent
compound concentration for CCR7 induction varied between the
donors.
[0423] Imiquimod generally showed to be potent only in donor 3 in B
cells, mDCs as well as in pDCs, for the expression of all
investigated markers.
Results
[0424] Compound A and SC12 were potent in induction of the
cytokines IL-6, IL-10, IL-12p40 and IFN-alpha, and increased
expression of maturation markers on both B-cells, pDCs and mDCs.
The differences between the biological effect of compound A and
SC12 measured on these parameters were not significant. However, if
a larger number of donors were used, a statistically significant
effect might be possible to show. Several effects showed borderline
significance, and some maturation markers showed a tendency to be
induced more potently by one of the compounds.
The Tendencies Showed:
[0425] Compound A showed a tendency to be more potent than SC12 for
the following end-points.
1. Induction of the maturation marker CD86 on mDCs 2. Induction of
the migration receptor CCR7 for both mDCs and pDCs 3. Induction of
the B-cell activation marker CD40
[0426] SC12 showed tendency to be more potent than compound A for
the following end-points.
1. Induction of the maturation marker CD80 on both mDCs and pDCs 2.
Induction of the migration marker CD86 on pDCs 3. Induction of the
cytokines IL-6 and IFN-alpha
[0427] No tendencies could be seen at the level of IL-10 or
IL-12p40 induction.
[0428] Based on these results, it can not be concluded that
compound A and SC12 behave significantly different when incubated
with fresh human blood.
[0429] SC12 was slightly more potent than compound A in pDC
activation, since CD80 and CD86 were induced more potently on pDCs
by SC12, and the pDC cytokine IFN-alpha was induced more potently
by SC12. In addition, compound A might be slightly more potent in
B-cell activation, in particular seen when tested at the 10 uM
concentration.
Example 7
Preclinical Placebo-Controlled Efficacy Study with Imiquimod and
SC12 in an Orthotopic Rat Bladder
[0430] The goal of this study was to evaluate the efficacy of a
liquid formulation of Imiquimod (R-487 (1)) and SC12 in an
orthotopic bladder cancer model in F344 rats. Four groups were
compared: Imiquimod, SC12, vehicle and a placebo-group. After
treatment, the animal well-being was monitored, and the response on
rat-bladder and tumor was evaluated histopathologically.
Animals, Material & Methods
Tumor Cells
[0431] The AY-27 rat bladder cancer cell-line was established from
a primary bladder tumor in FANFT
(N-[4-(5-nitro-2-furyl)-2-thiazolyl]formamide) fed Fischer F344
rats. The cell-line was kindly provided by the University of
Alberta and Cross Cancer Institute, Edmonton, Alberta, Canada. The
cells were cultured as a monolayer in RPMI-1640 (medium with
L-glutamine (Invitrogen, Carlsbad, Calif.)), supplemented with 10%
fetal calf serum (Sigma-Aldrich, St. Louis, Mo.), 100 U/mL
penicillin G and 100 .mu.g/mL streptomycin (Invitrogen, Carlsbad,
Calif.) in a humidified 95% air/5% carbon dioxide atmosphere. The
medium was replaced two times a week, and when confluent, the cells
were passaged with standard trypsinization procedures. Passage
numbers used for the experiments were 28 and 29.
Animals
[0432] A total of 56 female Fischer F344 rats were purchased from
Charles River (L'Arbresle Cedex, France) and were acclimatized for
at least one week before the start of the experiment. The rats,
weighing 170 g.+-.10 g, were housed in individual cages
(Techniplast, Milan, Italy) with gold flakes bedding (SPPS, Frasne,
France) and environmental enrichment, in a temperature controlled
environment with a 12-hour light/dark cycle with free access to
standard chow and water. Each day, the rats were weighed and
monitored for wellbeing. Animal procedures were performed according
to protocols, which need to be approved by the Institutional Animal
Care and Use Committee (IACUC), Committee for Animal Experiments
(Radboud University Nijmegen Medical Centre, The Netherlands) and
in compliance with Dutch and European regulations.
Sample Size Calculation
[0433] The group size was calculated using an expected therapy
effect of 50%, an .alpha. of 0.05, a power of 80% and 80% tumor
development. This resulted in a minimal group size of 14.
Tumor Cell Implantation
[0434] The tumor cell implantation was performed on day 0 according
to the protocol of Xiao et al (2). The F344 rats received isogenic
tumor cells, resulting in a bladder tumor establishment of more
than 80% (3). Enrofloxacin (Bayer, Leverkusen, Germany) (5-10
mg/kg) was injected subcutaneously for antibacterial prophylaxis
before each catheterization. Experiments were performed under
inhalation anesthesia: Isoflurane 2-5% (induction), followed by
Isoflurane 2%, nitric oxide 0.5 L/min and oxygen 1 L/min. The rat
bladder was catheterized via the urethra with a 16-gauge (1.4 mm)
plastic intravenous cannula (BD Biosystems, Erembodegem-Aalst,
Belgium) and drained. The bladder was pre-conditioned with a 15 s
instillation of 0.4 mL 0.1 M hydrochloride (HCl) and neutralized by
adding 0.4 mL 0.1 M potassium hydroxide (KOH) for 15 s. The bladder
was drained and flushed 3 times with 0.8 mL 0.01 M PBS. Freshly
harvested AY-27 cells (passage 28 and 29) were resuspended in
medium. Immediately after bladder conditioning, and within 1 hour
after cell harvesting, the cells (1.5*10.sup.6 in 0.5 ml medium)
were instilled in the rat-bladder and left indwelling for 1 hour.
The rats were rotated 90.degree. every 15 minutes. After 1 hour,
the catheter was removed, and the rats could void
spontaneously.
TABLE-US-00028 TABLE 24 Treatment groups Group Intravesical
instillation N 1 Imiquimod 0.1% 14 2 SC12 0.38% 14 3 Vehicle 14 4
NaCl 14
Treatment
[0435] All the rats received an intravesical instillation on day 2
and 5. First the rats were anesthetized by inhalation for one hour,
as described before. Subsequently the rats were catheterized via
the urethra using a 1.4 mm cannula (BD Biosystems), the bladder was
drained and the pH was measured using pH indicator strips (Merck,
Darmstadt Germany). The intravesical instillation was administrated
using a 1 mL Luer-Lok syringe (BD Biosystems). Group 1 (n=14) was
treated with 0.5 ml IMIQUIMOD 0.1%. Group 2 was treated with 0.5 ml
SC12 0.38%. Group 3 received an instillation with the vehicle
(Phosal 50) and Group 4 received an instillation with NaCl as a
control. The testing agents were dissolved in Phosal 50 (Lipoid AG)
as vehicle. The instillation remained in the bladder for 1 hour,
and the rats were rotated 90.degree. each 15 min. After one hour,
the catheter was removed. The pH of spontaneously voided urine was
measured using pH-indicator strips (Merck).
Pathological Evaluation
[0436] On day 12, the rats were sacrificed using carbon dioxide
inhalation. At necropsy the internal organs were inspected and
cystectomy was performed. The bladders were weighed, fixated using
4% buffered. laminated and embedded in paraffin. Sections of 5
.mu.m were stained using hematoxylin and eosin (H&E). A
uro-pathologist evaluated the bladder sections, and scored the T
stage using the TNM classification (Union International Contre le
Cancer, UICC, 2002). In addition, the total number of tumors per
bladder and the invasion depth of the tumors was measured. The
amount of inflammation in the bladder wall and/or surrounding
tissue was scored 0 (no inflammation), 1 (mild), 2 (moderate) and 3
(severe inflammation).
Results
[0437] During the experiment, there were no signs of impaired
wellbeing of the rats and no rat reached a humane endpoint. An
expected slight decrease of weight was seen only the first day
after anesthesia, but on the days following instillation, all rats
regained weight. Mild hematuria on the day of catheterization was
reported occasionally. On subsequent days, the urine turned normal.
The pH of the urine before and after treatment showed no
difference; the pH of all urines varied between 6.5 and 7.0. At
necropsy no abnormalities to internal organs other than the bladder
were seen. At macroscopic evaluation tumor-positive bladders appear
to have tumor mass without extravesical growth. Only one rat
bladder (group 3, vehicle treated) showed a mass near the right
urethral orifice, extending towards the right ureter.
Bladder Weight
[0438] The bladder weight correlated with the presence of tumor
(p<0.0001, independent samples T test). In the table, an
overview of the means and range is given. There was a difference of
mean bladder weight between group 2 (SC12) and group 3 (Vehicle),
(p=0.005, independent samples T test). No difference in mean
bladder weight was seen between other groups.
TABLE-US-00029 TABLE 25 Weight of the rat bladders per treatment
and control group. Weight in grams. Group N Mean weight Standard
deviation Range 1 14 0.1201 0.03488 0.0814-0.1891 2 12 0.1014
0.02258 0.0780-0.1422 3 12 0.1442 0.04163 0.0874-0.2028 4 13 0.1082
0.02311 0.0837-0.1587 Total 51 0.1184 0.03458 0.0780-0.2028
Inflammation
[0439] In almost all the rats a certain degree of inflammation was
present. Between groups no statistically significant difference was
observed (p=0.106, Pearsons Chi-square test). The mild and moderate
degree of inflammation accounted for 87.5% of all 56 cases.
Tumors and Tumor Response
[0440] The number of rats with a tumor positive bladder was 9 of 14
for the IMIQUIMOD treated group (group 1), 8 of 14 for the SC12
treated group (group 2), 11 of 14 for the vehicle-control group
(group 3) and also 11 of 14 for the NaCl control group (group 4).
All tumors show a pT2 stage, except one pTa tumor in the
vehicle-group. The pT2 tumors extend into the detrusor muscle. In
the rat with the pTa tumor, a small portion of cancer cells were
seen on top of the normal urothelial lining, with no invasion.
There was no statistically significant difference between the
individual groups in terms of tumor development. The difference in
tumor development between group 2 and the group 4 shows a
non-significant p-value of 0.210 (Fischers Exact Test). The
treatment given (e.g. IMIQUIMOD, SC12, vehicle or NaCl) was not
predictive of the outcome (tumor positive versus tumornegative),
when a logistic regression analysis was performed on the data.
TABLE-US-00030 Group Tumor free pTa Tumor pT2 Tumor Total 1 5
(35.7%) 9(64.3%) 14(100%) 2 6 (42.9%) 1 (7.1%) 7(50.0%) 14(100%) 3
3 (21.4%) 11(78.6%) 14(100%) 4 3 (21.4%) 11(78.6%) 14(100%)
Invasion Depth
[0441] Invasion depth of tumors was measured by a uro-pathologist
on histopathological evaluation of the H&E stained bladder
sections. The deepest point at which tumor cells were seen, was
taken as the invasion depth. The mean invasion depth of tumor
positive bladders did not show significant differences between
individual treatment groups (independent sample T test,
p=0.486-0.912), or between SC12-treated (groups 1,2) and control
treated (groups 3,4) animals (independent sample T-test
p=0.705)
TABLE-US-00031 TABLE 27 Mean tumor invasion depth Mean invasion
Standard Group depth (mm) deviation N 1 1.3333 0.45552 8 2 1.4250
0.70660 8 3 1.5000 0.56921 11 4 1.3909 0.55759 11
Tumor Number
[0442] The absolute number of tumors per bladder was counted by the
uro-pathologist. The number of tumors in the vehicle control group
was higher than the other groups. In univariate analysis, the
number of tumors in the vehicle group (group 3) differed
significantly from group 1 and 4 (p=0.02) and from group 2
(p=0.006).
TABLE-US-00032 TABLE 28 Mean number of tumors per rat bladder Mean
number Standard Group of tumors deviation 1 1.71 1.773 2 1.36 2.098
3 3.57 2.563 4 1.71 1.637
Conclusions
[0443] Imiquimod and SC12 cause a local immune response, that may
lead to antitumor activity. No signs of toxicity were seen during
this experiment. Although the effect of treatment on the tumor rate
was not statistically significant, a positive trend is seen towards
the Imiquimod and SC12-treated animals. Based on these data, future
experiments may have an increased treatment frequency to improve
efficacy.
References for Example 7
[0444] (1) Hayashi T, Crain B, Corr M, Chan M, Cottam H B, Maj R,
et al. Intravesical Toll-like receptor 7 agonist IMIQUIMOD:
Optimization of its formulation in an orthotopic mouse model of
bladder cancer 1. International Journal of Urology 2010 May;
17(5):483-90. [0445] (2) Xiao Z, McCallum T J, Brown K M, Miller G
G, Halls S B, Parney I, et al. Characterization of a novel
transplantable orthotopic rat bladder transitional cell tumor model
3. British Journal of Cancer 1999 October; 81(4):638-46. [0446] (3)
Hendricksen K, Molkenboer-Kuenen J, Oosterwijk E, De Kaa C A H V,
Witjes J A. Evaluation of an orthotopic rat bladder urothelial cell
carcinoma model by cystoscopy. Bju International 2008 April; 101
(7):889-93.
Example 8
Toxicity Analysis of SC12-Bacterial Mutation Assay
[0447] SC12 was examined for the ability to induce gene mutations
in tester strains of Salmonella typhimurium and Escherichia coli,
as measured by reversion of auxotrophic strains to prototrophy. The
five tester strains TA1535, TA1537, TA98, TA100 and WP2 uvrA were
used. Experiments were performed both in the absence and presence
of metabolic activation, using liver S9 fraction from rats
pre-treated with phenobarbitone and betanaphthoflavone. SC12 was
used as a solution in dimethylsulfoxide (DMSO). SC12 was assayed in
the toxicity test at a maximum concentration of 5000
micrograms/plate and at four lower concentrations spaced at
approximately half-log intervals: 1580, 500, 158 and 50.0
micrograms/plate. Precipitation of SC12 was observed at the end of
the incubation period at the two highest concentrations. No
toxicity was observed with any tester strain at any dose level in
the absence or presence of S9 metabolism.
[0448] Using the plate incorporation method, SC12 was assayed at
the maximum dose level of 5000 micrograms/plate and at four lower
dose levels spaced by two-fold dilutions: 2500, 1250, 625, and 313
micrograms/plate. No toxicity was observed with any tester strain
at any dose level, in the absence or presence of S9 metabolism.
Precipitation of SC12 was observed at the end of the incubation
period at the two highest concentrations.
[0449] As no increases in revertant numbers were observed at any
concentration tested, a pre-incubation step was included for all
treatments of Main Assay II. SC12 was assayed at the same
dose-range employed in Main Assay I. No toxicity was observed with
any tester strain at any dose level, in the absence or presence of
S9 metabolism.
[0450] Dose-related precipitation of SC12, which did not interfere
with the scoring, was observed at the end of the incubation period
at the four highest concentrations.
[0451] SC12 did not induce two-fold increases in the number of
revertant colonies in the plate incorporation or pre-incubation
assay, at any dose level, with any tester strain, in the absence or
presence of S9 metabolism.
[0452] It was concluded that SC12 does not induce reverse mutation
in Salmonella typhimurium or Escherichia coli in the absence or
presence of S9 metabolism, under the reported experimental
conditions.
Example 9
Toxicity Analysis of SC12--Single Dose Intravenous Study in
Rats
[0453] The acute toxicity of SC12 was investigated after a single
intravenous administration to the Sprague Dawley rat followed by a
14-day observation period. A preliminary phase was carried out by
subsequently dosing groups of one male and one female rat at 76,
100, 85 and 90 mg/kg, who were observed for a period of 7 days. An
additional group, similarly composed, received the vehicle alone
and acted as a control. No mortality occurred at 76 mg/kg. Clinical
signs were limited to piloerection and reduced activity, observed
on the day of dosing.
[0454] A second group was dosed at 100 mg/kg. Both animals died at
dosing, after convulsions.
[0455] A third group was then dosed at 85 mg/kg. Piloerection was
observed on the day of dosing. A fourth group was finally dosed at
90 mg/kg. No mortality occurred. Piloerection was observed from Day
2 up to Day 4 of the study. No death occurred and no clinical signs
were noted in male and female animals treated with the vehicle
alone.
[0456] In the main phase, 5 male and 5 female animals were dosed at
90 mg/kg and observed for a period of 14 days. A second group,
similarly constituted, received the vehicle alone and acted as
control. Three males treated at 90 mg/kg died immediately after
dosing, while two females died at 2 hours post-dose. In addition,
one male and one female dosed at 90 mg/kg were found dead on Day 2
of the study. Twitches, ataxia, piloerection, reduced activity and
hunched posture were the major signs observed in animals before
death. Ataxia, piloerection, reduced activity, hunched posture and
semi-closed eyes were noted in the surviving animals on the day of
dosing. Piloerection was observed up to Day 3 of the study. A
second group, similarly composed, was dosed at 80 mg/kg. No
mortality occurred and no clinical signs were recorded during the
observation period. No mortality occurred and no clinical signs
were observed in animals receiving the vehicle alone.
[0457] Surviving animals treated at 90 mg/kg and animals dosed at
80 mg/kg showed a slight to moderate body weight loss on Day 2 of
the study. Recovery occurred by Day 15 and the body weight changes
were within the expected range for this species and age of animals
at the end of the study. No relevant changes in body weight were
observed in animals receiving the vehicle alone during the study.
Surviving animals were killed at the end of the observation period
with carbon dioxide narcosis. All animals, including the early
decedents, were subjected to necropsy examination. No abnormalities
were observed at necropsy examination performed on all animals
treated at 90 mg/kg (including the early decedents), 80 mg/kg and
on control animals. These results indicate that the test item SC12
induced mortality or significant signs of toxicity in rats
following intravenous administration of a single dose at 90 mg/kg,
while no mortality and no signs of toxicity were observed at 80
mg/kg. Therefore, the maximum tolerated dose in this study was
considered to be 80 mg/kg.
Example 10
Binding Assays
[0458] Imiquimod and SC12 were analyzed in enzymatic and radiologic
binding assays, as shown in FIGS. 17, and 18, respectively. SC12
and imiquimod were evaluated in a radioligand binding assay among
73 primary molecular targets using different human recombinant
receptor types and subtypes or membrane fraction from rodent tissue
homogenates. SC12 was tested at a fixed concentration of 30
microM.
[0459] Imiquimod was shown to bind to receptors that are associated
with pain-related syndromes (e.g. adenosine and sodium channel),
which are the most common adverse events in patients after
treatment with Aldara (imiquimod). SC12 did not bind this type of
receptors.
Example 11
Investigation of the Intravenous Pharmacokinetics of SC12 in the
Mouse
[0460] The pharmacokinetics of SC12 was assayed in fasting male
CD-1 mice.
Materials and Methods
[0461] An IV bolus was administered into the caudal vein at a dose
of 1 mg/kg in 5 ml. The compound weight was 2.08/10.04 ml. 24 mice
were studied. Sampling was obtained by exsanguination under
anesthesia, at 5, 15, 30, 60, 240, and 480 minutes, and at 24
hours. SC12 was administered in a formulation of 3% DMSO, 20%
beta-cyclo-dextrin, in water, at a dose volume of 5 ml/kg. Animals
were sacrificed using ethyl ether at the conclusion of the
experiment.
[0462] Sample preparation: In a Sirocco filter plate, 100
microliters of plasma were added to 300 microliters of ACN/MeOH
spiked with 5 microliters of IS (IV298 10 micrograms per ml) plus
10 microliters of 5% H.sub.3PO.sub.4. The plate was shaken for 10
minutes at 80 rpm and then filtered under vacuum for 5 minutes.
[0463] Analytical method: LC/MS/MS: Premiere XE, Eluent: water (A)
MeOH(B) plus 0.1% HCOOH gradient. 15% B to 100% B from 0.1 to 0.5,
then isocratic 100% B up to 1.5 minutes, flow 0.8 ml/min; Column
Acquity UPLC BEH C18 1.7 microm 2.1.times.50 mm, injection volume
of 5 microliters in a T column at 50.degree. C. ESI positive, MRM,
Extractor 5V; Capillary 3.5 kV; T source 115.degree. C.; T desolv.
450.degree. C. SC12: MH+921.5>385.05/439.29 CV35 CE33 LLOQ: 5
ng/ml.
[0464] Data analysis: Non-compartmental analysis WinNonlin 5.1;
linear trapezoidal, uniform weight.
Results
[0465] No adverse behavioral effects were noted in the
treatments.
[0466] SC12 shows a Cmax in plasma of 541 ng/ml with a short MRT,
which is reflected in a high clearance (Table 29). Some
inter-animal variability was observed at the first time point (5
min), possibly due to the very rapid clearance in the first part of
the decay, whereas, in the second part of the curve, the
concentration in plasma decreased slowly, being under the LLOQ
(lowest limit of quantification) after 2 hrs.
[0467] Raw data and non-compartmental analysis output are reported
in Table 30.
TABLE-US-00033 TABLE 29 Pharmacokinetic parameters T 1/2 (min.) 130
Tmax (min.) 5 Cmax (ng/ml) 541 C0 (ng/ml) 2664 Tlast (min) 120
Clast (ng/ml) 6 AUClast (min * ng/ml) 11744 AUC INF obs (min *
ng/ml) 12878 Cl (ml/min/kg) 77.7 MRT (min) 32 Vss (L/kg) 2.5
TABLE-US-00034 TABLE 30 Raw data and non-compartmental analysis
output Time Plasma concentration (min) Mean .+-. S.D. (ng/ml) 5
540.70 .+-. 179.99 15 22.27 .+-. 3.16 30 10.00 .+-. 1.68 60 7.62
.+-. 0.72 120 6.05 .+-. 0.78 240 <LLOQ 480 <LLOQ 1440
<LLOQ
Example 12
Inhibition of Human CYP450 In Vitro
[0468] The interaction of SC12 with cytochrome P450 enzymes was
tested using Fluorescent High Throughput P450 assays (Gentest); The
IC50s of the compounds was calculated on isoenzymes (CYP1A2,
CYP2C9, CYP2C19, CYP2C8, CYP2B6, CYP2D6, CYP2E1, CYP3A4 and
CYP3A5).
Materials and Methods
[0469] Inhibition of the P450 isoforms was measured in specific
assays using specific substrates that become fluorescent upon CYP
metabolism. Compounds, dissolved in ACN (acetonitrile) (CYP2E1,
CYP2C8, CYP2B6, CYP3A5) or DMSO (all remaining isoforms), were
tested in duplicate (n=2) in concentration-response curves (eight
concentrations) in a 96-well plate containing incubation/NADPH
regenerating buffer. Specific isoenzymes and substrates were added
and incubated at 37.degree. C. Reactions were terminated at
different times, depending on the assays, and plates read on a
Fluoroskan Ascent at the appropriate emission/excitation
wavelengths. Concentration-response curves performed in duplicate
for known inhibitors for each isoenzyme were tested in every assay
as positive control.
Data Analysis
[0470] For each compound and standard the IC50 (concentration at
50% inhibition) was determined by using Grafit v. 5.0.1.
Results
[0471] Results are shown in Table 31 (compounds) and Table 32
(standards).
[0472] SC12 showed a moderate inhibition on CYP2E1, CYP3A5 and
CYP3A4 isoforms and a weak inhibition on CYP2C9, whereas it did not
appear to inhibit the others isoforms activity. Because SC12 showed
a low solubility, especially in ACN, results could be
underestimated. The standard reference inhibitors in all the
experiments performed showed the expected potency.
TABLE-US-00035 TABLE 31 P450 results CYP1A2 CYP2C9 CYP2C19 CYP2D6
CYP3A4 CYP3A5 CYP2E1 CYP2CB CYP2B6 CEC MFC CEC AMMC BFC BFC MFC DBF
EFC COMPOUND IC.sub.50 micromolar (Mean .+-. S.D.) SC12 >100
33.4 .+-. 0.3 >100 67.0 .+-. 3.8 13.6 .+-. 0.7 10.5 .+-. 0.5 9.2
.+-. 0.1 >100 >100 Abbreviations: BFC:
7-Benzyloxy-4-(trifluoromethyl)-coumarin CEC:
3-Cyano-7-Ethoxycoumarin AMMC:
3-[2(N,N-diethyl-N-methylamino)ethyl]-7-methoxy-4-methylcoumarin
DBF: Dibenzylfluorescein DMSO: Dimethylsulfoxide EFC:
7-Ethoxy-4-trifluoromethylcoumarin MFC:
7-Methoxy-4-trifluoromethylcoumarin
TABLE-US-00036 TABLE 32 P450 results on standard inhibitors
Standard Experiment data Isoforms inhibitors IC50 (microM) CYP1A2
Furafylline 1.9 .+-. 0.1 CYP2C9 Sulfaphenazole 0.27 .+-. 0.01
CYP2C19 Tranylcypromine 5.0 .+-. 0.2 CYP2D6 Quinidine 0.009 .+-.
0.001 CYP3A4 Ketoconazole 0.012 .+-. 0.001 CYP3A5 Ketoconazole 0.12
.+-. 0.10 CYP2E1 DDTC 0.85 .+-. 0.01 CYP2C8 Quercetin 3.5 .+-. 0.4
CYP2B6 Tranylcypromine 6.9 .+-. 1.2
Example 13
Investigation of Metabolic Stability and Profiling of Compound A in
Mammalian Plasma, and Comparison of Compound A and SC12 Stability
in Human Plasma
[0473] The stability of Compound A was tested in rat, rabbit,
minipig and human plasma up to 5 hours, and metabolic profiling was
assessed in rabbit and human plasma. Compound A was highly
metabolized by esterases/amidases in rabbit and human, and in a
lesser extent in minipig and rat species. Metabolism was studied in
rabbit at 30 and 120 min and in human at 60 and 300 min, i.e.
operating at approximately the same residual percentages of the
parent in the two species. Three metabolites were found in rabbit
and two of them in human.
[0474] In rabbit the major metabolites were the monoester (loss of
one oleic acid, M2) and the acid metabolite (amide hydrolysis, M3),
whereas only traces of the di-hydrolyzed metabolite (loss of both
oleic acids, M1) were observed. In human plasma only the first two
major metabolites, previously detected in rabbit, were identified
at the selected time points and the acid product (M3) was the
predominant metabolite at 120 min.
[0475] In conclusion, in human and rabbit species a comparable
profile of clearance and metabolism profile was found, with the
formation of only two major metabolites where the rate limiting
step is the hydrolysis leading to monoester formation (M2), which
rapidly converted into the acid derivative (M3).
[0476] In a second experiment performed in human plasma with a
second batch of Compound A in comparison with SC12 suggested that
SC12 is little more stable than Compound A, because it was not
metabolized up to 120 min, and more than 70% of the compound was
still present at 300 min (Compound A unchanged at 300 min:
55%).
Example 14
Direct Proapoptotic Effects of SC12 on Skin Cancer Cell Lines
[0477] A Comparison with Imiquimod In addition to its
immunomodulatory effects, Imiquimod has been reported to directly
induce apoptosis in tumor cells, which has been confirmed in tumors
of different origin in vivo. The proapoptotic activity of Imiquimod
may contribute to the antitumoral effects of Imiquimod in vivo, as
the required concentrations are still approximately 3 logs below
the concentration in Aldara 5% cream.
Experimental Methods and Results
Cell Lines:
[0478] Cutaneous Squamous Cell Carcinoma (SCC) cell lines (human)
SCL-I, SCL-II, SCC-12, SCC-13 have been well characterized with
regard to their growth behavior and apoptosis sensitivity to death
ligands (CD95L, TRAIL, TNF-alpha) as well as to other treatments.
SCC cells are grown under standard conditions (10% FBS).
Determination of the Direct Proapoptotic and Cytotoxic Effects of
SC12 on SCC Cells:
[0479] Time and dose dependency of effects on total cell numbers
have been investigated by real-time cell analysis, which is based
on continuous monitoring of electric conductance in microtiter
wells (E-plates, Roche), which corresponds to the cell numbers.
Different concentrations of SC12 as well as Imiquimod (Imq) have
been used to treat the 4 cell lines and the cell numbers have been
compared to untreated control cells (2 independent experiments for
each cell line, triple values, different concentrations). For these
assays 4 cell lines should be used to obtain a representative
overview on the effects on SCC cells. Thus, cells have been treated
with different concentrations of SC12 or Imiquimod; growth and
apoptotic effects have been monitored by microscopy for at least 7
days.
[0480] FIG. 17 shows reduced cell numbers with SC12 and Imiquimod.
Cutaneous SCC cell lines were continuously monitoring of electric
conductance in microtiter wells (E-plates, Roche), which
corresponds to the cell numbers. TMX indicates SC12 in the charts.
FIG. 18. provides photographs showing similar morphological changes
induced by SC12 and Imiquimod. At day 3, cell detachment,
morphological changes and inhibition of proliferation can be
observed in SCC cells treated with either SC12 or Imiquimod. Time
of treatment 3d, Concentrations: 120 microM.
Example 15
Compound A and SC12 as Adjuvants
[0481] A pilot immunization study was conducted using Compound A
and SC12 adjuvanted protein antigens. The immunization experiments
were performed with two recombinant proteins expressed in E. coli.
One antigen was derived from the malaria parasite Plasmodium
falciparum and the other one from Mycobacterium ulcerans, which
cause the ulcerative skin disease Buruli ulcer.
[0482] Groups of five mice received, with three week intervals,
three subcutaneous immunizations with 20 micrograms of target
antigen mixed with 10 nMol Compound A or SC12.
[0483] After the third immunization, all 20 immunized mice had
developed IgG responses against the respective target antigens. The
performance of Compound A and SC12 was comparable. No local side
effects, such as swelling or ulcerations were observed. A parallel
immunization with a commercial adjuvant approved for use in mice
yielded higher antibody titers; but here local reactions were
observed.
[0484] FIG. 19 shows the development of IgG titers against the M.
ulcerans antigen, (left: Compound A, right, SC12).
Example 16
Investigation of the Exposure of Imiquimod and SC12 in Mouse Serum
after Intravesical Chronic Treatment
Materials and Methods
[0485] Female 6-8 week old C57BL/6 mice were treated intravesically
with either Imiquimod (0.1 w/v % in total 208 nmol) or SC12 (0.38
w/v % in total 206.5 nmol). Serum samples were taken at time
points: day 0, 2 hours, day 1, 24 hours, and day 6, 2 hours.
Sample Preparation
[0486] Imiquimod: In a Sirocco Filter Plate (Waters), 50
microliters of mouse serum to 195 microliters of
acetonitrile/methanol 1:1 spiked with 5 microliters of IS
(Imiquimod-D9 100 micrograms/ml).The plate was shaken for 10
minutes and filtered under vacuum (5-10 mm Hg).
[0487] SC12: In a Sirocco Filter Plate (Waters), 70 microliters of
mouse serum were added to 210 microliters of acetonitrile/methanol
1:1 spiked with 5 microliters of IS (Imiquimod-D9 100 ng/ml).The
plate was shaken for 10 minutes and filtered under vacuum (5-10 mm
Hg). Samples were evaporated and re-suspended in 70 microliters of
acetonitrile/methanol 1:1.
Analytical Method
[0488] Imiquimod: LC/MS/MS: Premiere XE, Eluent: (ACN/H2O 95/5
(A)+0.1% HCOOH, 5/95 (B)) flow 0.60 ml/min from 98% A 0-0.20 mins,
gradient to 100% B in 0.6 min, then stay to 100% B until 1.1 mins,
reconditioning for 0.4 min.
[0489] Column: Acquity BEH C18 50.times.2.1 mm 1.7 micrometers;
injection volume 5 microliters, T column 50.degree. C.
[0490] SC12: LC/MS/MS: Premiere XE, Eluent: (MeOH/H2O 95/5 (A)+0.1%
HCOOH, 5/95 (B)) flow 0.80 ml/min from 85% A 0-0.10 mins, gradient
to 100% B in 0.4 min, then stay to 100% B until 1.5 mins,
reconditioning for 0.7 min.
[0491] Column: Acquity BEH C8 50.times.2.1 mm 1.7 micrometers
injection. volume 10 microliters, T column 50.degree. C.
SC12 Q1/Q3 921.5/385.05; CV35, CE33
[0492] 921.5/439.29; CV35, CE33
Imiquimod Q1/Q3 241.1/113.98; CV30, CE45
[0492] [0493] 241.1/140.9; CV30, CE40
IS: Imiquimod-D9 Q1/Q3 250.1/113.98; CV30, CE45
[0494] ESI positive, MRM, Extractor 5V; Capillary 3.5 kV; T source
140.degree. C.; T desolvation 450.degree. C. LLOQ: 0.5 ng/ml SC12
and 2.5 ng/ml for Imiquimod
Results
[0495] The aim of this study was to evaluate the exposure of serum
after intravesical chronic administration of Imiquimod and SC12.
Serum levels of SC12 and Imiquimod are reported in Table 33 and
Table 34, respectively. Low concentrations were observed for both
compounds, in particular for SC12, where the major part of the
samples were below the LLOQ, even if the LLOQ obtained for SC12 was
five times lower than the LLOQ obtained for Imiquimod (0.5 vs 2.5
ng/ml).
[0496] Imiquimod was present in the serum up to 2 hours after
administration, but no accumulation is occurring resulting below
the LLOQ at 24 hours and with values after 6 days of treatment
comparable to day 1.
TABLE-US-00037 TABLE 33 SC12 levels in serum Day 0, Day 1, Day 6,
Mice 2 hours 24 hours 2 hours n.degree. ng/ml 9 1.0 <LLOQ
<LLOQ SC12 10 <LLOQ <LLOQ <LLOQ 0.1% 11 0.5 <LLOQ
<LLOQ 12 <LLOQ <LLOQ <LLOQ Vehicle 13 <LLOQ <LLOQ
<LLOQ Mean .+-. S.D. 0.5 .+-. 0.5 <LLOQ <LLOQ Results are
expressed as Mean .+-. S.D., n = 2
TABLE-US-00038 TABLE 34 Imiquimod levels in serum Day 0, Day 1, Day
6, Mice 2 hours 24 hours 2 hours n.degree. ng/ml 1 6.4 <LLOQ 8.7
Imiquimod 2 6.8 <LLOQ 0.1% 3 5.3 <LLOQ 1 2.8 2 8.1 3 16.3
Vehicle 14 <LLOQ <LLOQ <LLOQ Mean .+-. S.D. 6.2 .+-. 0.8
<LLOQ 8.9 .+-. 5.6 Results are expressed as Mean .+-. S.D., n =
2
LIST OF ABBREVIATIONS
Acetonitrile ACN
Collision Energy CE
Cone Voltage CV
Dimethylsulfoxide DMSO
Electron Spray Ionization ESI
Internal Standard IS
Liquid Chromatography/Mass Spectrometry LC-MS/MS
[0497] Lowest limit of quantification LLOQ
Methanol MeOH
Multiple Reaction Monitoring MRM
Ultra Performance Liquid Chromatography UPLC
Example 17
Intracellular Uptake in RAW.264 Cells
[0498] In cellular assays, SC12 rapidly reaches high intracellular
concentration. 5.times.10.sup.6 RAW.264 cells were adhered
overnight in 10 cm tissue culture dishes. The medium was replaced
with 10 ml of a new media containing 10 microM Compound A and SC12.
The cells were incubated for 1, 6, and 18 hours. Supernatant (2 ml)
and cells (pellets) were collected by trypsinization and frozen at
20.degree. C. for subsequent analysis by LC-MS. Table 35 shows the
results of this analysis.
TABLE-US-00039 TABLE 35 Results of intracellular uptake assay
Intracellular Incubation Concentration Compound hours % of total
Compound A 1 5.50 6 4.27 16 1.53 SC12 1 18.5 6 20.6 18 21.4
[0499] The entirety of each patent, patent application, publication
and document referenced herein hereby is incorporated by reference.
Citation of the above patents, patent applications, publications
and documents is not an admission that any of the foregoing is
pertinent prior art, nor does it constitute any admission as to the
contents or date of these publications or documents.
[0500] Modifications may be made to the foregoing without departing
from the basic aspects of the technology. Although the technology
has been described in substantial detail with reference to one or
more specific embodiments, those of ordinary skill in the art will
recognize that changes may be made to the embodiments specifically
disclosed in this application, yet these modifications and
improvements are within the scope and spirit of the technology.
[0501] The technology illustratively described herein suitably may
be practiced in the absence of any element(s) not specifically
disclosed herein. Thus, for example, in each instance herein any of
the terms "comprising," "consisting essentially of," and
"consisting of" may be replaced with either of the other two terms.
The terms and expressions which have been employed are used as
terms of description and not of limitation, and use of such terms
and expressions do not exclude any equivalents of the features
shown and described or portions thereof, and various modifications
are possible within the scope of the technology claimed. The term
"a" or "an" can refer to one of or a plurality of the elements it
modifies (e.g., "a reagent" can mean one or more reagents) unless
it is contextually clear either one of the elements or more than
one of the elements is described. The term "about" as used herein
refers to a value within 10% of the underlying parameter (i.e.,
plus or minus 10%), and use of the term "about" at the beginning of
a string of values modifies each of the values (i.e., "about 1, 2
and 3" refers to about 1, about 2 and about 3). For example, a
weight of "about 100 grams" can include weights between 90 grams
and 110 grams. Further, when a listing of values is described
herein (e.g., about 50%, 60%, 70%, 80%, 85% or 86%) the listing
includes all intermediate and fractional values thereof (e.g., 54%,
85.4%). Thus, it should be understood that although the present
technology has been specifically disclosed by representative
embodiments and optional features, modification and variation of
the concepts herein disclosed may be resorted to by those skilled
in the art, and such modifications and variations are considered
within the scope of this technology.
[0502] Certain embodiments of the technology are set forth in the
claims that follow.
* * * * *